Individual
REGINA SHAYE DASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
105 CHILDERS CIR, PIEDMONT, SC 29673-7708
(864) 396-3974
Mailing address
105 CHILDERS CIR, PIEDMONT, SC 29673-7708
(864) 396-3974
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
4601
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4601
DENTAL HYGIENIST
SC
Enumeration date
05/12/2021
Last updated
05/12/2021
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