| Lakeshore Dental Llc | |
|
1200 Gold Hill Rd Ste 101 Fort Mill SC 29708-6916 | |
| (803) 396-0000 | |
| Not Available |
| Full Name | Lakeshore Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1200 Gold Hill Rd Ste 101, Fort Mill, South Carolina |
| Authorized Official Name and Position | Kalp Juthani (DENTIST) |
| Authorized Official Contact | 8033960000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeshore Dental Llc 1200 Gold Hill Rd Ste 101 Fort Mill SC 29708-6916 Ph: () - | Lakeshore Dental Llc 1200 Gold Hill Rd Ste 101 Fort Mill SC 29708-6916 Ph: (803) 396-0000 |
| NPI Number | 1275351660 |
|---|---|
| Provider Enumeration Date | 10/02/2024 |
| Last Update Date | 10/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275351660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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