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Individual

KEVIN MALCOLM JAMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1108 CALHOUN ST, NEWBERRY, SC 29108-3445
(803) 276-0940
(803) 276-0941
Mailing address
1108 CALHOUN ST, NEWBERRY, SC 29108-3445
(803) 276-0940
(803) 276-0941

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4106
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZX4106
SC
Enumeration date
01/02/2007
Last updated
04/13/2012
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