| Summerville Smiles Dental Office, Pc | |
|
1099 N Main St Ste 102 Summerville SC 29483-7300 | |
| (843) 536-8577 | |
| Not Available |
| Full Name | Summerville Smiles Dental Office, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1099 N Main St Ste 102, Summerville, South Carolina |
| Authorized Official Name and Position | Ali Shahrestani (OWNER DENTIST) |
| Authorized Official Contact | 8435368577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summerville Smiles Dental Office, Pc Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Summerville Smiles Dental Office, Pc 1099 N Main St Ste 102 Summerville SC 29483-7300 Ph: (843) 536-8577 |
| NPI Number | 1972179307 |
|---|---|
| Provider Enumeration Date | 05/27/2021 |
| Last Update Date | 05/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972179307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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