| NPI | 1730543414 |
|---|---|
| Doing Business As | LAKE KEOWEE DENTAL ESTHETICS |
| Entity Type | Organization |
| Authorized Contact | BONNIE G ALEXANDER Owner 864-723-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4702) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |