| NPI | 1639717010 |
|---|---|
| Doing Business As | ANGEL DENTAL FORT MILL |
| Entity Type | Organization |
| Authorized Contact | SHARI MATTHEWS Director Of Operations 843-599-9590 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2020-01-12 |