Individual
MRS. KRISTIN ROWLAND DERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1208 SPRINGDALE DR, CLINTON, SC 29325-7225
(864) 833-5400
(864) 833-5417
Mailing address
PO BOX 837, CLINTON, SC 29325-0837
(864) 833-5400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4208
SC
Other
Enumeration date
12/12/2006
Last updated
03/14/2018
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