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Lake Wylie Pediatric Dentistry, Llc
Pediatric Dentist in Clover, South Carolina
NPI 1528428091

Lake Wylie Pediatric Dentistry, Llc is a Pediatric Dentist based in Lake Wylie, SC and is specialized in Pediatric Dentistry. Lake Wylie Pediatric Dentistry, Llc practices in Clover, SC. The NPI Number for Lake Wylie Pediatric Dentistry, Llc is 1528428091 and holds a License No. 8097 (South Carolina).

The current practice location address for Lake Wylie Pediatric Dentistry, Llc is 534 Nautical Dr., Clover, SC and can be reached out via phone at 803-619-5155.

Location: 534 Nautical Dr., Clover, SC, 29710-5001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528428091
Provider Name
Lake Wylie Pediatric Dentistry, Llc
Credential
Provider Entity Type
Organization
Address
534 Nautical Dr., Clover, SC, 29710-5001
Phone Number
803-619-5155
Fax Number
Provider Enumeration Date
02/26/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
534 Nautical Dr.
City
Clover
State
South Carolina
Zip
29710-6102
Phone Number
803-619-5155
Fax Number
person
Provider Business Mailing Address Details
Address
534 Nautical Dr.
City
Clover
State
South Carolina
Zip
29710-6102
Phone Number
803-619-5155
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
8097 (South Carolina)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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