Organization
TYGER RIVER PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LENORA G. COVINGTON DMD (OWNER/ DENTIST)
(864) 266-5030
Entity
Organization
Contact information
Practice address
312 SPARTANBURG HWY., LYMAN, SC 29365
(864) 439-4449
(864) 439-5559
Mailing address
312 SPARTANBURG HWY., LYMAN, SC 29365
(864) 439-4449
(864) 439-5559
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3896
SC
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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