NPI | 1205197209 |
---|---|
Doing Business As | SHILAND DENTISTRY |
Entity Type | Organization |
Authorized Contact | MARK KLOPENSTINE President 803-328-8004 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SC 4508) |
Enumeration Date | 2012-06-06 |
Last Update Date | 2012-06-06 |