Wild Smiles, LLC
NPI #1295920346 in Lexington, South Carolina
Provider Information
- NPI Number
- 1295920346
- Entity Type
- Organization
- Organization Name
- Wild Smiles, LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Sep 12, 2007
- Last Updated
- Dec 16, 2010
Practice Location
- Address
- 203 NORTH LAKE DRIVE
- City
- Lexington
- State
- South Carolina
- ZIP Code
- 29072
- Phone
- (803) 356-1606
Authorized Official
- Name
- MRS. DONNA M. BABCOCK
- Title
- INSURANCE COORDINATOR
- Phone
- (803) 356-1606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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