| Sunnyside Family Dentistry Llc | |
|
1500 W Main St Unit 110 Laurens SC 29360-3767 | |
| (864) 715-2227 | |
| Not Available |
| Full Name | Sunnyside Family Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1500 W Main St Unit 110, Laurens, South Carolina |
| Authorized Official Name and Position | Chika Agu (CEO) |
| Authorized Official Contact | 8647152227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunnyside Family Dentistry Llc 119 Young Harris Dr Simpsonville SC 29681-8115 Ph: () - | Sunnyside Family Dentistry Llc 1500 W Main St Unit 110 Laurens SC 29360-3767 Ph: (864) 715-2227 |
| NPI Number | 1821526294 |
|---|---|
| Provider Enumeration Date | 05/30/2017 |
| Last Update Date | 05/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821526294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7101 (South Carolina) | Primary |
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