Organization
SINGH PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENE B QUATTLEBAUM (DIRECTOR OF PRACTICE OPERATIONS)
(803) 490-9008
Entity
Organization
Contact information
Practice address
938 N LAKE DR, LEXINGTON, SC 29072-2171
(803) 490-9008
(803) 490-9029
Mailing address
938 N LAKE DR, LEXINGTON, SC 29072-2171
(803) 490-9008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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