Lakeshore Dental Inc.
NPI #1255832549 in Fort Mill, South Carolina
Provider Information
- NPI Number
- 1255832549
- Entity Type
- Organization
- Organization Name
- Lakeshore Dental Inc.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 22, 2018
- Last Updated
- Nov 1, 2021
Practice Location
- Address
- 1200 GOLD HILL ROAD
- City
- Fort Mill
- State
- South Carolina
- ZIP Code
- 29708
- Phone
- (803) 396-0000
Authorized Official
- Name
- JEFF COHEN
- Title
- COO
- Phone
- (704) 246-8971
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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