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Organization
LAKE BOWEN DENTAL STUDIO, LLC
Active
Organization
LAKE BOWEN DENTAL STUDIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KACEY MEDLIN EVATT DMD (OWNER)
(864) 578-9366
Entity
Organization
Contact information
Practice address
1242 PARKSIDE ACORN DR, INMAN, SC 29349-8344
(864) 578-9366
Mailing address
1242 PARKSIDE ACORN DR, INMAN, SC 29349-8344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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