803 Dental LLC
NPI #1326808114 in Fort Mill, South Carolina
Provider Information
- NPI Number
- 1326808114
- Entity Type
- Organization
- Organization Name
- 803 Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 20, 2024
- Last Updated
- Mar 20, 2024
Practice Location
- Address
- 1344 HIGHWAY 160 E
- Address 2
- #101
- City
- Fort Mill
- State
- South Carolina
- ZIP Code
- 29715
- Phone
- (803) 650-6352
Authorized Official
- Name
- DR. YENAN XU
- Title
- D.D.S.
- Phone
- (347) 963-3531
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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