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Organization
A. KEITH LETHCO D.M.D.,P.A.
Active
Organization
A. KEITH LETHCO D.M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW KEITH LETHCO D.M.D. (PRESIDENT)
(864) 223-2433
Entity
Organization
Contact information
Practice address
1815 MONTAGUE AVENUE EXT, SUITE 4, GREENWOOD, SC 29649-7501
(864) 223-2433
(864) 223-3896
Mailing address
1815 MONTAGUE AVENUE EXT, SUITE 4, GREENWOOD, SC 29649-7501
(864) 223-2433
(864) 223-3896
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2737
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205918174
INDIVIDUAL NPI NUMBER
SC
05
—
ZZ2737
—
SC
Enumeration date
02/09/2007
Last updated
08/22/2020
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