Vasantha Rao DMD DENTIST

NPI 1700942505 - Dentist - 122300000X

NPI Details
NPI 1700942505
Gender Female
Enumeration Date 12/28/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
6260 HWY 76
SHOBHA DENTAL CARE CENTER
PENDLETON SC, 29670, US
Phone (864) 332-0530
Fax (864) 332-1201
Business Location
214 DURSELY DRIVE
ANDERSON SC, 29621, US
Phone (864) 222-9271
Fax
Toxanomy
Taxonomy Code 122300000X
License State South Carolina
License Number 3738
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According to our database, Mrs. Vasantha Rao DMD DENTIST NPI is 1700942505, taxonomy code is 122300000X and license number is 3738, license state is located at South Carolina. Vasantha Rao DMD DENTIST physically located at 6260 Hwy 76, Pendleton SC, 29670. NPI Number Vasantha Rao DMD DENTIST has the Individual type.

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1700942505 NPI number is provided on an as is basis without warranty of any kind. 1700942505 is maintained by the National Plan & Provider Enumeration System. The contents of Vasantha Rao DMD DENTIST are for informational purposes only.