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Organization
RICHARDSON AND LUNN COSMETIC AND FAMILY DENTISRTY
Active
Organization
RICHARDSON AND LUNN COSMETIC AND FAMILY DENTISRTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER GRAY (OFFICE MANAGER)
(843) 662-3505
Entity
Organization
Contact information
Practice address
1525 HERITAGE LANE, FLORENCE, SC 29505-3141
(843) 662-3505
(843) 662-3722
Mailing address
1525 HERITAGE LN, FLORENCE, SC 29505-3141
(843) 662-3505
(843) 662-3722
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4047
SC
1223G0001X
General Practice Dentistry
Primary
2753
SC
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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