Lake Wylie Modern Dentistry Dental Clinic

Get detailed information about Lake Wylie Modern Dentistry dental clinic in Irvine California.
Lake Wylie Modern Dentistry (LAKE WYLIE MODERN DENTISTRY, PC) is a Dental Clinic in Lake Wylie, South Carolina. Dental care clinics provide dental treatment and oral care to patients of all ages. The NPI Number for Lake Wylie Modern Dentistry is 1194376491.

The current location address for Lake Wylie Modern Dentistry is 140 Highway 274, , Lake Wylie, South Carolina and the contact number is 803-752-0565 and fax number is --. The mailing address for Lake Wylie Modern Dentistry is 17000 Red Hill Ave, , Irvine, California - 92614-5626 (mailing address contact number - --).


Provider Profile Details:
Clinic NameLake Wylie Modern Dentistry
Provider OrganizationLAKE WYLIE MODERN DENTISTRY, PC
Address140 Highway 274, ,
Lake Wylie
South Carolina, 29710-6045
Phone Number803-752-0565
Fax Number--
Authorized Official NameDr. Ali Shahrestani
Authorized Official Title/PositionOwner
Authorized Official Contact Number803-752-0565
NPI Number Details:
NPI Number1194376491
Provider Enumeration Date09/27/2019
Last Update Date01/04/2021
Provider Business Mailing Address Details:
Address17000 Red Hill Ave,
CityIrvine
StateCalifornia
Zip92614-5626
Phone Number--
Fax Number--
Provider's Primary Taxonomy Details:
TypeDental Providers
SpecialityDentist
Taxonomy122300000X

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