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Organization
FOOTHILLS ORAL & FACIAL SURGERY
Active
Organization
FOOTHILLS ORAL & FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR P LEBEDOVYCH DDS (PRESIDENT/CEO)
(864) 967-4000
Entity
Organization
Contact information
Practice address
301 W BELTLINE BLVD, #301, ANDERSON, SC 29625-1505
(864) 967-4000
(864) 328-9907
Mailing address
301 W BELTLINE BLVD, #301, ANDERSON, SC 29625-1505
(864) 967-4000
(864) 328-9907
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4084
SC
Other
Enumeration date
04/23/2014
Last updated
04/23/2014
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