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Organization
INDIGO PEDIATRIC DENTISTRY
Active
Organization
INDIGO PEDIATRIC DENTISTRY
Active
Other names
Rula M Shalabi, DMD PA, Holly Tree
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RULA MAHMOUD SHALABI DMD (OWNER, PEDIATRIC DENTIST)
(864) 442-6770
Entity
Organization
Contact information
Practice address
1026 POWDERSVILLE RD STE A, EASLEY, SC 29642-2417
(864) 442-6770
(864) 442-6830
Mailing address
1026 POWDERSVILLE RD STE A, EASLEY, SC 29642-2417
(864) 442-6770
(864) 442-6830
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609282425
NPI
SC
05
—
ZA8955
—
SC
05
—
ZX8355
—
SC
Enumeration date
03/13/2019
Last updated
11/05/2025
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