| NPI | 1447604723 |
|---|---|
| Former Legal Business Name | LAKELANDS DENTAL ART |
| Entity Type | Organization |
| Authorized Contact | JENNIFER A TOMLINSON Credentialing Coordinator 864-229-6639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2023-10-09 |