WILD SMILES WHITE KNOLL FAMILY DENTISTRY LLC NPI 1730415092

NPI Information

WILD SMILES WHITE KNOLL FAMILY DENTISTRY, LLC is a pediatric dentistry dentist in Lexington, SC. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. WILD SMILES WHITE KNOLL FAMILY DENTISTRY, LLC NPI is 1730415092. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1767 S LAKE DR
SUITE # A
LEXINGTON, SC
ZIP 29073-734
Phone: (803) 356-1606
Fax: (803) 359-7542

The provider's authorized official is Gunjit Rick Singh .
The authorized official title is Owner and has the following contact phone number (803) 356-1606.

The enumeration date for this NPI number is 10/21/2009 and was last updated on 10/21/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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