| NPI | 1295920346 |
|---|---|
| Former Legal Business Name | PEDIATRIC DENTAL OF LEXINGTON |
| Entity Type | Organization |
| Authorized Contact | DONNA M. BABCOCK Insurance Coordinator 803-356-1606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC SC3351) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 3351) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2010-12-16 |