Individual
KAYLA DARSHAE CHENAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PREVENTIVE DENTISTRY
Contact information
Practice address
4323 HILL ST, COLUMBIA, SC 29207-6022
(803) 751-6209
Mailing address
4323 HILL ST, COLUMBIA, SC 29207-6022
(803) 751-6209
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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