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Organization
PALMETTO ORAL & MAXILLOFACIAL SURGEONS
Active
Organization
PALMETTO ORAL & MAXILLOFACIAL SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J. LOWRY DMD (PRESIDENT)
(843) 669-4231
Entity
Organization
Contact information
Practice address
302 W PINE ST, FLORENCE, SC 29501-4727
(843) 669-4231
(843) 665-0283
Mailing address
302 W PINE ST, FLORENCE, SC 29501-4727
(843) 669-4231
(843) 665-0283
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/07/2006
Last updated
08/22/2020
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