| Progrin Dental Of Westside, Llc | |
|
108 Michelin Blvd Anderson SC 29625-2676 | |
| (864) 332-4117 | |
| Not Available |
| Full Name | Progrin Dental Of Westside, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 108 Michelin Blvd, Anderson, South Carolina |
| Authorized Official Name and Position | Brent Ayers (COO) |
| Authorized Official Contact | 8645617559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progrin Dental Of Westside, Llc 201 Old Boiling Springs Rd Ste A Greer SC 29650-4257 Ph: (864) 561-7559 | Progrin Dental Of Westside, Llc 108 Michelin Blvd Anderson SC 29625-2676 Ph: (864) 332-4117 |
| NPI Number | 1063157287 |
|---|---|
| Provider Enumeration Date | 05/02/2022 |
| Last Update Date | 05/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063157287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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