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PROVIDENCE DENTAL GROUP LLC

Dental Clinic/Center

NPI: 1760502181Organization

Specialties, Licenses & Credentials

Dental Clinic/CenterPrimary

Clinic/Center — Dental

Code: 261QD0000X

SC 3724(SC)

Contact & Hours

Address
220 BRIDGES RD
SIMPSONVILLE, SC 29681

Quick Facts

NPI
1760502181
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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