Organization
SHOBHA DENTAL CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASANTHA RAO DMD (OWNER)
(864) 332-0530
Entity
Organization
Contact information
Practice address
6260 HIGHWAY 76, PENDLETON, SC 29670-9148
(864) 332-0530
Mailing address
6260 HIGHWAY 76, PENDLETON, SC 29670-9148
(864) 332-0530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3738
SC
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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