| Fleetwood Square Dental, Llc | |
|
105 Fleetwood Dr Easley SC 29640-2019 | |
| (864) 855-2788 | |
| (864) 855-2689 |
| Full Name | Fleetwood Square Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 105 Fleetwood Dr, Easley, South Carolina |
| Authorized Official Name and Position | Sonia Kakkar (MBR) |
| Authorized Official Contact | 8648552788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fleetwood Square Dental, Llc 105 Fleetwood Dr Easley SC 29640-2019 Ph: (864) 855-2788 | Fleetwood Square Dental, Llc 105 Fleetwood Dr Easley SC 29640-2019 Ph: (864) 855-2788 |
| NPI Number | 1831700178 |
|---|---|
| Provider Enumeration Date | 08/11/2020 |
| Last Update Date | 08/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831700178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Fleetwood Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Fleetwood Dr, Easley, SC 29640 Phone: 864-855-2788 Fax: 864-855-2789 | |
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Waters Orthodontics, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Franklin Square Way Ste A, Easley, SC 29642 Phone: 864-855-6360 Fax: 864-855-6361 | |
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