| Issaqueena Pediatric Dentistry P.a. | |
|
3453 Highway 153 Piedmont SC 29673-7725 | |
| (864) 625-1283 | |
| (864) 565-7784 |
| Full Name | Issaqueena Pediatric Dentistry P.a. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3453 Highway 153, Piedmont, South Carolina |
| Authorized Official Name and Position | Camille Worthington Horton (OWNER) |
| Authorized Official Contact | 8644827900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Issaqueena Pediatric Dentistry P.a. 314 Union Station Dr Seneca SC 29678-4547 Ph: (864) 482-7900 | Issaqueena Pediatric Dentistry P.a. 3453 Highway 153 Piedmont SC 29673-7725 Ph: (864) 625-1283 |
| NPI Number | 1295453751 |
|---|---|
| Provider Enumeration Date | 08/19/2022 |
| Last Update Date | 08/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295453751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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