Individual
DR. JESSE BEASLEY KNOWLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2590 TAHOE DR, SUMTER, SC 29150-1860
(803) 877-6703
Mailing address
2590 TAHOE DR, SUMTER, SC 29150-1860
(803) 877-6703
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10584
SC
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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