Lugoff Family Dentistry, LLC
NPI #1295321198 in Lugoff, South Carolina
Provider Information
- NPI Number
- 1295321198
- Entity Type
- Organization
- Organization Name
- Lugoff Family Dentistry, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 15, 2020
- Last Updated
- Dec 16, 2020
Practice Location
- Address
- 1 PLAZA DR
- City
- Lugoff
- State
- South Carolina
- ZIP Code
- 29078-9384
- Phone
- (803) 438-3540
Authorized Official
- Name
- JOHN F RICKARD
- Title
- COMPTROLLER
- Phone
- (843) 270-9534
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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