Organization
LAKE CITY FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WINDY M. HOBBS (ACCOUNTS PAYABLE)
(843) 374-8010
Entity
Organization
Contact information
Practice address
804 W MAIN ST, LAKE CITY, SC 29560-4400
(843) 374-2021
(843) 374-2030
Mailing address
804 W MAIN ST, LAKE CITY, SC 29560-4400
(843) 374-2021
(843) 374-2030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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