| Lotus Dental Associates Llc | |
|
1365 Broadcloth St Ste 204 Fort Mill SC 29715-4507 | |
| (803) 548-8858 | |
| (803) 548-8860 |
| Full Name | Lotus Dental Associates Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1365 Broadcloth St Ste 204, Fort Mill, South Carolina |
| Authorized Official Name and Position | Nhung Phan (OWNER) |
| Authorized Official Contact | 8035488858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lotus Dental Associates Llc 1365 Broadcloth St Ste 204 Fort Mill SC 29715-4507 Ph: (803) 548-8858 | Lotus Dental Associates Llc 1365 Broadcloth St Ste 204 Fort Mill SC 29715-4507 Ph: (803) 548-8858 |
| NPI Number | 1730740887 |
|---|---|
| Provider Enumeration Date | 06/27/2019 |
| Last Update Date | 06/27/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730740887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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