Individual
DR. KEVIN SHELLEY ASBILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2724 MIDDLEBURG DRIVE, MIDDLEBURG OFFICE PARK, COLUMBIA, SC 29204
(803) 256-7101
(803) 256-7161
Mailing address
2724 MIDDLEBURG DRIVE, MIDDLEBURG OFFICE PARK, COLUMBIA, SC 29204
(803) 256-7101
(803) 256-7161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC3429
SC
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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