NPI | 1174082713 |
---|---|
Former Legal Business Name | RULA M SHALABI, DMD PA |
Other Name | HOLLY TREE |
Entity Type | Organization |
Authorized Contact | RULA M SHALABI Pediatric Dentist/Owner 864-442-6770 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2019-03-13 |
Last Update Date | 2019-03-13 |