Individual
ROBERT NIEDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
139 WHITEFORD WAY, LEXINGTON, SC 29072-7965
(803) 951-9100
(803) 951-1910
Mailing address
139 WHITEFORD WAY, LEXINGTON, SC 29072-7965
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3893
SC
Other
Enumeration date
02/02/2006
Last updated
08/16/2011
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