Organization
CLEMSON MODERN DENTISTRY, PC
Active
Other names
Clemson Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI SHAHRESTANI DMD (OWNER DENTIST)
(714) 845-8890
Entity
Organization
Contact information
Practice address
2708 CLEMSON RD STE A, COLUMBIA, SC 29229-8033
(803) 830-5972
(803) 440-8432
Mailing address
17000 RED HILL AVE, IRVINE, CA 92614-5626
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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