LAKESIDE FAMILY DENTISTRY, LLC

ANDERSON, SC
NPI1346680725
Entity TypeOrganization
Authorized ContactTHOMAS MILLER
Owner
864-305-1402
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: SC  4489)
Enumeration Date2013-06-28
Last Update Date2013-06-28
Business Address
LAKESIDE FAMILY DENTISTRY, LLC
4371 HIGHWAY 24
ANDERSON, SC 29626-5214
Phone number: 864-305-1402
Mailing Address
LAKESIDE FAMILY DENTISTRY, LLC
4371 HIGHWAY 24
ANDERSON, SC 29626-5214
Phone number:
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