Fleetwood Square Dental, LLC
NPI #1831700178 in Easley, South Carolina
Provider Information
- NPI Number
- 1831700178
- Entity Type
- Organization
- Organization Name
- Fleetwood Square Dental, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 11, 2020
- Last Updated
- Aug 11, 2020
Practice Location
- Address
- 105 FLEETWOOD DR
- City
- Easley
- State
- South Carolina
- ZIP Code
- 29640-2019
- Phone
- (864) 855-2788
Authorized Official
- Name
- DR. SONIA KAKKAR, DDS
- Title
- MBR
- Phone
- (864) 855-2788
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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