Individual
DR. MATTHEW ROBERT DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
601 E GEORGIA ST, WOODRUFF, SC 29388-1953
(864) 476-8315
Mailing address
601 E GEORGIA ST, WOODRUFF, SC 29388-1953
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4366
SC
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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