Organization
ALL SMILES DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONRAD CROCKER DMD (OWNER)
(803) 309-2545
Entity
Organization
Contact information
Practice address
2441 MINERAL SPRINGS RD, LEXINGTON, SC 29072-9145
(803) 309-2545
Mailing address
2441 MINERAL SPRINGS RD, LEXINGTON, SC 29072-9145
(803) 309-2545
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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