Organization
BELA FAMILY DENTISTRY OF WHITE KNOLL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW COOK (OWNER)
(803) 479-1795
Entity
Organization
Contact information
Practice address
1915 SOUTHLAKE DR., LEXINGTON, SC 29073
(803) 479-1795
Mailing address
PO BOX 1557, LEXINGTON, SC 29071-1557
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4708
SC
Other
Enumeration date
03/09/2016
Last updated
06/23/2021
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