| Family Dental Llc | |
|
2022-2024 Cherry Road Rock Hill SC 29732-2627 | |
| (803) 324-9400 | |
| Not Available |
| Full Name | Family Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2022-2024 Cherry Road, Rock Hill, South Carolina |
| Authorized Official Name and Position | Peter Stathakis (CFO) |
| Authorized Official Contact | 3122740308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Llc 2022-2024 Cherry Road Rock Hill SC 29732-2627 Ph: (803) 324-9400 | Family Dental Llc 2022-2024 Cherry Road Rock Hill SC 29732-2627 Ph: (803) 324-9400 |
| NPI Number | 1629355045 |
|---|---|
| Provider Enumeration Date | 11/14/2011 |
| Last Update Date | 11/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629355045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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