Organization
SUMMERVILLE SMILES DENTAL OFFICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI SHAHRESTANI DMD (OWNER DENTIST)
(843) 536-8577
Entity
Organization
Contact information
Practice address
1099 N MAIN ST STE 102, SUMMERVILLE, SC 29483-7300
(843) 536-8577
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 952-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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