Organization
CHOUGULE DENTAL CARE LLC
Active
Other names
Southlake Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
PRIYA P CHOUGULE DMD (OWNER/DENTIST)
(201) 675-7256
Entity
Organization
Contact information
Practice address
1741 GOLD HILL RD, FORT MILL, SC 29708-8202
(201) 675-7256
Mailing address
1741 GOLD HILL RD, FORT MILL, SC 29708-8202
(201) 675-7256
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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