Organization
LUGOFF FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F RICKARD (COMPTROLLER)
(843) 270-9534
Entity
Organization
Contact information
Practice address
1 PLAZA DR, LUGOFF, SC 29078-9384
(803) 438-3540
Mailing address
1 PLAZA DR, LUGOFF, SC 29078-9384
(803) 438-3540
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
12/16/2020
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