institution
Carolina Family Dentistry At Lake Wylie
Dental Clinic/Center in Lake Wylie, South Carolina
NPI 1629749106

Carolina Family Dentistry At Lake Wylie is a Dental Clinic/Center based in Lake Wylie, SC and is specialized in Dental. Carolina Family Dentistry At Lake Wylie practices in Lake Wylie, SC. The NPI Number for Carolina Family Dentistry At Lake Wylie is 1629749106 and holds a License No. (South Carolina).

The current practice location address for Carolina Family Dentistry At Lake Wylie is 244 Latitude Ln Ste 103, Lake Wylie, SC and can be reached out via phone at 803-831-2171 and via fax at 803-831-2172.

Location: 244 Latitude Ln Ste 103, Lake Wylie, SC, 29710-8125
institution
Provider Profile Details
NPI Number
1629749106
Provider Name
Carolina Family Dentistry At Lake Wylie
Credential
Provider Entity Type
Organization
Address
244 Latitude Ln Ste 103, Lake Wylie, SC, 29710-8125
Phone Number
803-831-2171
Fax Number
803-831-2172
Provider Enumeration Date
09/23/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1639539653 01 SC DENTIST
1528635604 01 SC DENTIST
1083818157 01 SC DENTIST
institution
Provider Business Practice Location Address Details
Address
244 Latitude Ln Ste 103
City
State
Zip
29710-8125
Phone Number
803-831-2171
Fax Number
803-831-2172
person
Provider Business Mailing Address Details
Address
244 Latitude Ln Ste 103
City
State
Zip
29710-8125
Phone Number
803-831-2171
Fax Number
803-831-2172
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
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Definition
Definition to come...
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