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Organization
WILD SMILES WHITE KNOLL FAMILY DENTISTRY, LLC
Active
Organization
WILD SMILES WHITE KNOLL FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUNJIT RICK SINGH D.M.D (OWNER)
(803) 356-1606
Entity
Organization
Contact information
Practice address
1767 S LAKE DR, SUITE # A, LEXINGTON, SC 29073-6734
(803) 356-1606
(803) 359-7542
Mailing address
1767 S LAKE DR, SUITE # A, LEXINGTON, SC 29073-6734
(803) 356-1606
(803) 359-7542
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
SC3864
SC
1223P0221X
Pediatric Dentistry
Primary
SC3351
SC
1223P0221X
Pediatric Dentistry
SC3801
SC
Other
Enumeration date
10/21/2009
Last updated
10/21/2009
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