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1346680725
LAKESIDE FAMILY DENTISTRY, LLC
ANDERSON, SC
NPI
1346680725
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Entity Type
Organization
Authorized Contact
THOMAS MILLER
Owner
864-305-1402
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
(Licence: SC 4489)
Enumeration Date
2013-06-28
Last Update Date
2013-06-28
Business Address
LAKESIDE FAMILY DENTISTRY, LLC
4371 HIGHWAY 24
ANDERSON, SC 29626-5214
Phone number: 864-305-1402
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Mailing Address
LAKESIDE FAMILY DENTISTRY, LLC
4371 HIGHWAY 24
ANDERSON, SC 29626-5214
Phone number:
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