Organization
ISSAQUEENA PEDIATRIC DENTISTRY P.A.
Active
Parent organization
ISSAQUEENA PEDIATRIC DENTISTRY, P.A.
Other names
Issaqueena Pediatric Dentistry and Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
ISSAQUEENA PEDIATRIC DENTISTRY, P.A.
Authorized official
CAMILLE WORTHINGTON HORTON DMD (OWNER)
(864) 482-7900
Entity
Organization
Contact information
Practice address
3453 HIGHWAY 153, PIEDMONT, SC 29673-7725
(864) 625-1283
(864) 565-7784
Mailing address
314 UNION STATION DR, SENECA, SC 29678-4547
(864) 482-7900
(864) 482-7510
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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