Organization
DENTISTRY AT THE COMMONS
Active
Other names
Lake Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDSEY D BURBANK JR. DDS (OWNER)
(352) 250-7079
Entity
Organization
Contact information
Practice address
11 PROFESSIONALS CIR, SENECA, SC 29678-2669
(864) 882-0134
Mailing address
77 ANGUS RUN, SENECA, SC 29672-6657
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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