Lake Wylie Pediatric Dentistry, LLC
Lake Wylie Pediatric Dentistry, LLC provides Pediatric Dentistry in Clover, South Carolina. Licensed in South Carolina. Registered with an NPI since 2016.
- Licensed in
- SC
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
534 Nautical DrClover, SC 29710-6102
Phone: (803) 619-5155
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence 8097 (SC) |
|---|
Record details
| NPI number | 1528428091 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ryan Colosi — Member · (803) 619-5155 |
| Other names | Ryan P Colosi Dds |
| NPI enumerated | February 26, 2016 |
| Last updated in NPPES | March 24, 2017 |
| Mailing address | 534 Nautical Dr, Lake Wylie, SC 29710-5001 |