Individual
ELIZABETH TAIT GASTON CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1000 COLLEGE AVE, CLEMSON, SC 29631-2804
(864) 654-6700
Mailing address
104 HOLBROOK TRL, GREENVILLE, SC 29605-3163
(843) 442-3375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4354
SC
Other
Enumeration date
07/03/2007
Last updated
03/04/2021
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