| NPI | 1891262234 |
|---|---|
| Doing Business As | LEXINGTON MODERN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALI SHAHRESTANI Owner/Dds 803-339-1021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2022-02-08 |