Organization
CAROLINA EMERGENCY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAFA ALBU-SHAMAH DDS (OWNER)
(803) 970-6080
Entity
Organization
Contact information
Practice address
2685 CELANESE RD STE 116, ROCK HILL, SC 29732-2993
(336) 905-3268
Mailing address
2685 CELANESE RD STE 116, ROCK HILL, SC 29732-2993
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
11/23/2022
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