Organization
3DI DIAGNOSTIC ORAL FACIAL IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COURTNEY W. SHELBOURNE (OWNER)
(843) 849-7929
Entity
Organization
Contact information
Practice address
1203 TWO ISLAND CT, SUITE 103B, MT PLEASANT, SC 29466-7405
(843) 849-7929
(843) 849-7117
Mailing address
1203 TWO ISLAND CT, SUITE 103B, MT PLEASANT, SC 29466-7405
(843) 849-7929
(843) 849-7117
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
—
—
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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