Organization
WHITE KNOLL COMPREHENSIVE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA SUZANNE COCKRELL (INSURANCE COORDINATOR)
(803) 785-9991
Entity
Organization
Contact information
Practice address
1825 S LAKE DR, LEXINGTON, SC 29073-7759
(803) 785-9991
(803) 785-6921
Mailing address
1825 S LAKE DR, LEXINGTON, SC 29073-7759
(803) 785-9991
(803) 785-6921
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2790
SC
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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