Falls Park Dentistry

NPI 1790950202 - Dentist - 1223G0001X

NPI Details
NPI 1790950202
Enumeration Date 04/25/2008
Last Updated 04/25/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name BRIAN RUSSELL BRIAN
Position DENTIST/PRESIDENT
Phone (864) 243-8371
Fax
Practice Location
104 N MAIN ST
GREENVILLE SC, 29601-2721, US
Phone (864) 243-8371
Fax
Business Location
104 N MAIN ST
GREENVILLE SC, 29601-2721, US
Phone (864) 243-8371
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Falls Park Dentistry NPI is 1790950202, taxonomy code is 1223G0001X Falls Park Dentistry physically located at 104 N Main St, Greenville SC, 29601-2721. NPI Number 1033115704 has the healthcare provider type.

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1790950202 NPI number is provided on an as is basis without warranty of any kind. 1790950202 is maintained by the National Plan & Provider Enumeration System. The contents of Falls Park Dentistry are for informational purposes only.