Issaqueena Pediatric Dentistry P.a.
NPI #1992056378 in Seneca, South Carolina
Provider Information
- NPI Number
- 1992056378
- Entity Type
- Organization
- Organization Name
- Issaqueena Pediatric Dentistry P.a.
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Sep 26, 2012
- Last Updated
- Sep 26, 2012
Practice Location
- Address
- 314 UNION STATION DR
- City
- Seneca
- State
- South Carolina
- ZIP Code
- 29678-4547
- Phone
- (864) 482-7900
Authorized Official
- Name
- DR. CAMILLE W HORTON, DMD
- Title
- PRESIDENT
- Phone
- (864) 482-7900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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