Individual
BROCKMAN DAVIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
753 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7164
(843) 571-6371
Mailing address
753 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7164
(843) 571-6371
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
8747
SC
Other
Enumeration date
07/25/2016
Last updated
07/18/2022
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