FLEETWOOD SQUARE DENTAL, LLC

EASLEY, SC
NPI1831700178
Entity TypeOrganization
Authorized ContactSONIA KAKKAR
Mbr
864-855-2788
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2020-08-11
Last Update Date2020-08-11
Business Address
FLEETWOOD SQUARE DENTAL, LLC
105 FLEETWOOD DR
EASLEY, SC 29640-2019
Phone number: 864-855-2788
Mailing Address
FLEETWOOD SQUARE DENTAL, LLC
105 FLEETWOOD DR
EASLEY, SC 29640-2019
Phone number: 864-855-2788
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