Organization
NORTHWOOD DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN EDWARD RODGERS DMD (OWNER / DENTIST)
(803) 359-3215
Entity
Organization
Contact information
Practice address
510 NORTHWOOD RD, LEXINGTON, SC 29072-2128
(803) 359-3215
(803) 359-8664
Mailing address
510 NORTHWOOD RD, LEXINGTON, SC 29072-2128
(803) 359-3215
(803) 359-8664
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
SC4468
SC
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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