| Shandon Family Dentistry | |
|
2329 Devine St Suite 1 Columbia SC 29205-2431 | |
| (803) 447-6009 | |
| Not Available |
| Full Name | Shandon Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2329 Devine St, Columbia, South Carolina |
| Authorized Official Name and Position | Devang H Desai (OWNER) |
| Authorized Official Contact | 8034476009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shandon Family Dentistry 2329 Devine St Suite 1 Columbia SC 29205-2431 Ph: (803) 447-6009 | Shandon Family Dentistry 2329 Devine St Suite 1 Columbia SC 29205-2431 Ph: (803) 447-6009 |
| NPI Number | 1275823197 |
|---|---|
| Provider Enumeration Date | 04/12/2011 |
| Last Update Date | 04/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275823197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4644 (South Carolina) | Primary |
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