Individual
DR. CHIDERA SHARON AMILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
360 FORT MILL PKWY, SUITE 101, FORT MILL, SC 29715
(803) 228-7380
Mailing address
2391 DAVE LYLE BLVD, ROCK HILL, SC 29730-8237
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12737
CT
1223G0001X
General Practice Dentistry
Primary
10944
SC
Other
Enumeration date
02/25/2019
Last updated
10/15/2024
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