Individual
PRACHI SHRIDHAR SONTAKKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1505 EBENEZER RD, ROCK HILL, SC 29732-1806
(857) 413-0948
Mailing address
1505 EBENEZER RD, ROCK HILL, SC 29732-1806
(857) 413-0948
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8845
SC
122300000X
Dentist
DN1856394
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX8845
—
SC
Enumeration date
09/03/2013
Last updated
03/28/2018
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