Progrin Dental of Powdersville, LLC
NPI #1649832510 in Easley, South Carolina
Provider Information
- NPI Number
- 1649832510
- Entity Type
- Organization
- Organization Name
- Progrin Dental of Powdersville, LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Jul 1, 2019
- Last Updated
- Nov 17, 2023
Practice Location
- Address
- 10705 ANDERSON RD
- City
- Easley
- State
- South Carolina
- ZIP Code
- 29642-8298
- Phone
- (864) 561-7559
Authorized Official
- Name
- MR. BRENT ALLEN AYERS
- Title
- COO
- Phone
- (864) 561-7559
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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