Organization
SUNSET CHILDREN'S DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHI SAMPLE DMD (DENTIST/ OWNER)
(803) 807-2787
Entity
Organization
Contact information
Practice address
5080 SUNSET BLVD, SUITE B, LEXINGTON, SC 29072-7051
(803) 807-2787
Mailing address
5080 SUNSET BLVD, SUITE B, LEXINGTON, SC 29072-7051
(803) 807-2787
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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