Organization
CABANA DENTAL ASSOCIATES INC.
Active
Other names
Stonecrest Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD WILLIAM CABANA DMD (PRESIDENT)
(803) 547-6000
Entity
Organization
Contact information
Practice address
1147 STONECREST BLVD STE 105, TEGA CAY, SC 29708-6606
(803) 547-6000
(803) 547-6004
Mailing address
1147 STONECREST BLVD STE 105, TEGA CAY, SC 29708-6606
(803) 547-6000
(803) 547-6004
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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