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Individual

DR. AMANDA C BLANKENSHIP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
4712 LIBERTY DIVISION AVE, COLUMBIA, SC 29207-5405
(033) 340-9908
Mailing address
108 PINK CAMELLIA LN, LEXINGTON, SC 29072-6507
(419) 764-3656

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11002
SC
1223G0001X
General Practice Dentistry
Primary
30.025873
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00000
OH
Enumeration date
08/06/2019
Last updated
01/29/2025
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