Individual
DR. BROCK JAMES ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2448 AUGUSTA HWY, LEXINGTON, SC 29072-2216
(803) 490-7760
Mailing address
511 TORRENS DR, GILBERT, SC 29054-9824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.10907
SC
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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