Organization · Type 2 NPI
Boutwell Dental, LLC
Dental Clinic/Center · Simpsonville, SC
NPI number
1962281105
Active
Practice location
309 Highway 14 Ste C
Simpsonville, SC 29681-6055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1962281105
Boutwell Dental, LLC's National Provider Identifier is 1962281105, issued on Sep 26, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Simpsonville, SC. The record was last updated on Sep 26, 2023.