Individual
DR. RENEE G SHONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, PA
Contact information
Practice address
163 MEDICAL CIR, WEST COLUMBIA, SC 29169-3655
(803) 794-0905
(803) 794-5472
Mailing address
163 MEDICAL CIR, WEST COLUMBIA, SC 29169-3655
(803) 794-0905
(803) 794-5472
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2575
SC
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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