Organization
SOUTHERN DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE J. LORENZI DMD (OWNER)
(803) 796-1140
Entity
Organization
Contact information
Practice address
3244 SUNSET BLVD, WEST COLUMBIA, SC 29169
(803) 796-1140
(803) 796-1974
Mailing address
3244 SUNSET BLVD, WEST COLUMBIA, SC 29169
(803) 796-1140
(803) 796-1974
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2407
SC
1223G0001X
General Practice Dentistry
Primary
3588
SC
Other
Enumeration date
03/19/2007
Last updated
07/06/2011
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