Chougule Dental Care LLC
Dentist, General Practice in Fort Mill, SC. Organization (NPI-2).
NPI number1982175170
StatusActive
Last updated in NPPESDec 16, 2018
Details
- NPI
- 1982175170
- Entity type
- Organization (NPI-2)
- Legal business name
- Chougule Dental Care LLC
- Organization subpart
- No
- Enumeration date
- Dec 16, 2018
- Last updated
- Dec 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Southlake Family Dentistry (Doing Business As)
Practice location
1741 Gold Hill RdFort Mill, SC 29708-8202
Phone 201-675-7256
Mailing address
1741 Gold Hill RdFort Mill, SC 29708-8202
Phone 201-675-7256
Authorized official
Priya P Chougule
Owner/Dentist
2016757256
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