| The Dental Retreat At Mountain Park | |
|
125 Botanical Cir Travelers Rest SC 29690-7112 | |
| (864) 836-3611 | |
| (888) 778-6022 |
| Full Name | The Dental Retreat At Mountain Park |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 125 Botanical Cir, Travelers Rest, South Carolina |
| Authorized Official Name and Position | Jon Micheal Julian (OWNER) |
| Authorized Official Contact | 8648363611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dental Retreat At Mountain Park 125 Botanical Cir Travelers Rest SC 29690-7112 Ph: (864) 836-3611 | The Dental Retreat At Mountain Park 125 Botanical Cir Travelers Rest SC 29690-7112 Ph: (864) 836-3611 |
| NPI Number | 1821485640 |
|---|---|
| Provider Enumeration Date | 04/20/2015 |
| Last Update Date | 04/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821485640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6984 (South Carolina) | Primary |
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