Organization · Type 2 NPI

South Lake Family Dental, LLC

Dental Clinic/Center · Lexington, SC

NPI number 1255691796 Active

About NPI 1255691796

South Lake Family Dental, LLC's National Provider Identifier is 1255691796, issued on May 17, 2012. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Lexington, SC. The record was last updated on May 17, 2012.