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2391 Dave Lyle Blvd. Suite #101 Rock Hill SC 29730-8238 | |
| (803) 325-9000 | |
| (216) 584-1150 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2391 Dave Lyle Blvd., Rock Hill, South Carolina |
| Authorized Official Name and Position | Charles Zasso (DENTIST/OWNER) |
| Authorized Official Contact | 8033259000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 860036 Minneapolis MN 55486-0036 Ph: (803) 325-9000 | 2391 Dave Lyle Blvd. Suite #101 Rock Hill SC 29730-8238 Ph: (803) 325-9000 |
| NPI Number | 1497901623 |
|---|---|
| Provider Enumeration Date | 08/07/2008 |
| Last Update Date | 12/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497901623 | NPI | - | NPPES |
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