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Individual

MRS. KATHRYN INABINETT ACKERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
100 OLD CHEROKEE RD, SUITE F PMB #14, LEXINGTON, SC 29072-9316
(800) 276-2398
Mailing address
100 OLD CHEROKEE RD, SUITE F PMB #14, LEXINGTON, SC 29072-9316
(800) 276-2398

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4157
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4157
DENTAL HYGIENE LICENSE
SC
Enumeration date
09/11/2011
Last updated
09/11/2011
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