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Organization
AFFORDABLE DENTISTRY PA
Active
Organization
AFFORDABLE DENTISTRY PA
Active
Other names
Shandon Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVANG H DESAI D.M.D. (OWNER)
(803) 447-6009
Entity
Organization
Contact information
Practice address
2329 DEVINE ST, SUITE 1, COLUMBIA, SC 29205-2431
(803) 447-6009
Mailing address
2329 DEVINE ST, SUITE 1, COLUMBIA, SC 29205-2431
(803) 447-6009
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4644
SC
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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