Organization
LEXINGTON MODERN DENTISTRY, PC
Active
Other names
Lexington Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI SHAHRESTANI DDS (OWNER/DDS)
(803) 339-1021
Entity
Organization
Contact information
Practice address
808 HIGHWAY 378 STE C, LEXINGTON, SC 29072-8379
(803) 339-1021
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
02/08/2022
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