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Issaqueena Pediatric Dentistry P.a.
Pediatric Dentist in Seneca, South Carolina
NPI 1992056378

Issaqueena Pediatric Dentistry P.a. is a Pediatric Dentist based in Seneca, SC and is specialized in Pediatric Dentistry. Issaqueena Pediatric Dentistry P.a. practices in Seneca, SC. The NPI Number for Issaqueena Pediatric Dentistry P.a. is 1992056378 and holds a License No. 4211 (South Carolina).

The current practice location address for Issaqueena Pediatric Dentistry P.a. is 314 Union Station Dr, Seneca, SC and can be reached out via phone at 864-482-7900 and via fax at 864-482-7510.

Location: 314 Union Station Dr, Seneca, SC, 29678-4547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992056378
Provider Name
Issaqueena Pediatric Dentistry P.a.
Credential
Provider Entity Type
Organization
Address
314 Union Station Dr, Seneca, SC, 29678-4547
Phone Number
864-482-7900
Fax Number
864-482-7510
Provider Enumeration Date
09/26/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1588875934 05 SC
institution
Provider Business Practice Location Address Details
Address
314 Union Station Dr
City
Seneca
State
South Carolina
Zip
29678-4547
Phone Number
864-482-7900
Fax Number
864-482-7510
person
Provider Business Mailing Address Details
Address
314 Union Station Dr
City
Seneca
State
South Carolina
Zip
29678-4547
Phone Number
864-482-7900
Fax Number
864-482-7510
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
4211 (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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