Provider First Line Business Practice Location Address:
6260 HWY 76
Provider Second Line Business Practice Location Address:
SHOBHA DENTAL CARE CENTER
Provider Business Practice Location Address City Name:
PENDLETON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29670
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-332-0530
Provider Business Practice Location Address Fax Number:
864-332-1201
Provider Enumeration Date:
12/28/2006