Individual
KALP JUTHANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 GOLD HILL RD STE 101, FORT MILL, SC 29708-6916
(803) 396-0000
Mailing address
1200 GOLD HILL RD STE 101, FORT MILL, SC 29708-6916
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12401
NC
Other
Enumeration date
03/11/2020
Last updated
10/19/2024
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