| 803 Dental Llc | |
|
1344 Highway 160 E #101 Fort Mill SC 29715 | |
| (803) 650-6352 | |
| Not Available |
| Full Name | 803 Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1344 Highway 160 E, Fort Mill, South Carolina |
| Authorized Official Name and Position | Yenan Xu (D.D.S.) |
| Authorized Official Contact | 3479633531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 803 Dental Llc 4267 Tournette Dr Indian Land SC 29707-9228 Ph: () - | 803 Dental Llc 1344 Highway 160 E #101 Fort Mill SC 29715 Ph: (803) 650-6352 |
| NPI Number | 1326808114 |
|---|---|
| Provider Enumeration Date | 03/20/2024 |
| Last Update Date | 03/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326808114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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