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1275351660
LAKESHORE DENTAL LLC
FORT MILL, SC
NPI
1275351660
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Entity Type
Organization
Authorized Contact
KALP JUTHANI
Dentist
803-396-0000
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2024-10-02
Last Update Date
2024-10-19
Business Address
LAKESHORE DENTAL LLC
1200 GOLD HILL RD STE 101
FORT MILL, SC 29708-6916
Phone number: 803-396-0000
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Mailing Address
LAKESHORE DENTAL LLC
1200 GOLD HILL RD STE 101
FORT MILL, SC 29708-6916
Phone number:
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