| Shobha Dental Care, Pa | |
|
6260 Highway 76 Pendleton SC 29670-9148 | |
| (864) 332-0530 | |
| Not Available |
| Full Name | Shobha Dental Care, Pa |
|---|---|
| Speciality | Dentist |
| Location | 6260 Highway 76, Pendleton, South Carolina |
| Authorized Official Name and Position | Vasantha Rao (OWNER) |
| Authorized Official Contact | 8643320530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shobha Dental Care, Pa 6260 Highway 76 Pendleton SC 29670-9148 Ph: (864) 332-0530 | Shobha Dental Care, Pa 6260 Highway 76 Pendleton SC 29670-9148 Ph: (864) 332-0530 |
| NPI Number | 1346658762 |
|---|---|
| Provider Enumeration Date | 07/29/2014 |
| Last Update Date | 07/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346658762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3738 (South Carolina) | Primary |
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