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Organization

DENTAL PROFESSIONALS OF SC, PC

Active
Parent organization
DENTAL PROFESSIONALS OF SC, PC
Other names
Family Dental of Lexington
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTAL PROFESSIONALS OF SC, PC
Authorized official
KENDRA WALKER (CREDENTIALING COORDINATOR)
(217) 540-8312
Entity
Organization

Contact information

Practice address
5551 SUNSET BLVD, LEXINGTON, SC 29072-9132
(803) 399-8829
Mailing address
5551 SUNSET BLVD, LEXINGTON, SC 29072-9132

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
05/14/2014
Last updated
06/16/2014
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