Individual
DR. RICHARD FRED AMENDOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1197 N LAKE DR, B, LEXINGTON, SC 29072-7645
(803) 359-6130
(803) 359-4218
Mailing address
1197 N LAKE DR, B, LEXINGTON, SC 29072-7645
(803) 359-6130
(803) 359-4218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3856
SC
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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