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Individual

DR. NICOLE ROSE DUBOIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
5443 PLATT SPRINGS RD STE F, LEXINGTON, SC 29073-6203
(803) 470-5067
Mailing address
2038 LAKE MURRAY BLVD APT 15208, COLUMBIA, SC 29212-0866
(757) 243-3293

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10260
SC

Other

Enumeration date
06/29/2022
Last updated
06/29/2022
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