Organization
TRIBE DENTAL LLC
Active
Other names
Smile Place
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEANNA SHETLER DMD (OWNER)
(724) 263-8210
Entity
Organization
Contact information
Practice address
11 MAGNOLIA COVE DR, SIMPSONVILLE, SC 29680
(864) 610-4485
Mailing address
206 KILGORE FARMS CIR, SIMPSONVILLE, SC 29681-6389
(724) 263-8210
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
01/05/2020
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