Organization
RICHARDSON AND LUNN COSMETIC AND FAMILY DENTISRTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER GRAY (OFFICE MANAGER)
(843) 662-3505
Entity
Organization
Contact information
Practice address
1525 HERITAGE LANE, FLORENCE, SC 29505-3141
(843) 662-3505
(843) 662-3722
Mailing address
1525 HERITAGE LN, FLORENCE, SC 29505-3141
(843) 662-3505
(843) 662-3722
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4047
SC
1223G0001X
General Practice Dentistry
Primary
2753
SC
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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