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1831700178
FLEETWOOD SQUARE DENTAL, LLC
EASLEY, SC
NPI
1831700178
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Entity Type
Organization
Authorized Contact
SONIA KAKKAR
Mbr
864-855-2788
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2020-08-11
Last Update Date
2020-08-11
Business Address
FLEETWOOD SQUARE DENTAL, LLC
105 FLEETWOOD DR
EASLEY, SC 29640-2019
Phone number: 864-855-2788
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Mailing Address
FLEETWOOD SQUARE DENTAL, LLC
105 FLEETWOOD DR
EASLEY, SC 29640-2019
Phone number: 864-855-2788
Copy
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