NPI | 1275823197 |
---|---|
Doing Business As | SHANDON FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | DEVANG H DESAI Owner 803-447-6009 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SC 4644) |
Enumeration Date | 2011-04-12 |
Last Update Date | 2011-04-12 |