Provider Demographics
NPI:1154692242
Name:SOUTH SHORE VETERINARY CARE, LLC
Entity type:Organization
Organization Name:SOUTH SHORE VETERINARY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEMIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DRESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:DVM
Authorized Official - Phone:808-874-3422
Mailing Address - Street 1:330 OHUKAI RD
Mailing Address - Street 2:STE 107
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753
Mailing Address - Country:US
Mailing Address - Phone:808-874-3422
Mailing Address - Fax:808-874-0915
Practice Address - Street 1:330 OHUKAI RD
Practice Address - Street 2:STE 107
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753-7058
Practice Address - Country:US
Practice Address - Phone:808-874-3422
Practice Address - Fax:808-874-0915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-20
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIVE-408174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174M00000XOther Service ProvidersVeterinarianGroup - Single Specialty