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Individual

DR. WILLIAM LUKE PERDUE SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
220 SOUTH CRAIG ST, CHESTERFIELD, SC 29709
(843) 623-2333
(843) 623-7905
Mailing address
PO BOX 231, CHESTERFIELD, SC 29709
(843) 623-2333
(843) 623-7905

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2817
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
228177
SC
Enumeration date
02/05/2007
Last updated
07/08/2007
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