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1730740887
LOTUS DENTAL ASSOCIATES LLC
FORT MILL, SC
NPI
1730740887
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Entity Type
Organization
Authorized Contact
NHUNG PHAN
Owner
803-548-8858
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2019-06-27
Last Update Date
2019-06-27
Business Address
LOTUS DENTAL ASSOCIATES LLC
1365 BROADCLOTH ST STE 204
FORT MILL, SC 29715-4507
Phone number: 803-548-8858
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Mailing Address
LOTUS DENTAL ASSOCIATES LLC
1365 BROADCLOTH ST STE 204
FORT MILL, SC 29715-4507
Phone number: 803-548-8858
Copy
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