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Organization

PENDLETON NEIGHBORHOOD DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KERILLS HOSSAM AZER HABASHI DMD (DENTIST)
(714) 423-4436
Entity
Organization

Contact information

Practice address
137 COTESWORTH ST UNIT E, PENDLETON, SC 29670-9545
(714) 423-4436
Mailing address
137 COTESWORTH ST UNIT E, PENDLETON, SC 29670-9545

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/07/2026
Last updated
03/07/2026
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