South Lake Family Dental, LLC
NPI #1255691796 in Lexington, South Carolina
Provider Information
- NPI Number
- 1255691796
- Entity Type
- Organization
- Organization Name
- South Lake Family Dental, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 17, 2012
- Last Updated
- May 17, 2012
Practice Location
- Address
- 1223 S LAKE DR
- Address 2
- SUITE A
- City
- Lexington
- State
- South Carolina
- ZIP Code
- 29073-6889
- Phone
- (803) 520-5580
Authorized Official
- Name
- DR. ANGELA SCHWEIGER, DMD
- Title
- OWNER
- Phone
- (803) 520-5580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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