| Blue Ridge Dental Llc | |
|
2224 Old Furnace Rd Boiling Springs SC 29316-5782 | |
| (864) 586-5050 | |
| Not Available |
| Full Name | Blue Ridge Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2224 Old Furnace Rd, Boiling Springs, South Carolina |
| Authorized Official Name and Position | Aleksey Zelenko (PROVIDER) |
| Authorized Official Contact | 8645808767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Dental Llc 2224 Old Furnace Rd Boiling Springs SC 29316-5782 Ph: (864) 586-5050 | Blue Ridge Dental Llc 2224 Old Furnace Rd Boiling Springs SC 29316-5782 Ph: (864) 586-5050 |
| NPI Number | 1427766823 |
|---|---|
| Provider Enumeration Date | 11/14/2022 |
| Last Update Date | 11/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427766823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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