Individual
LANCEN W HALBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
330 HARRISON BRIDGE RD, SIMPSONVILLE, SC 29680-7133
(864) 962-6671
(864) 962-6683
Mailing address
330 HARRISON BRIDGE RD, SIMPSONVILLE, SC 29680-7133
(864) 962-6671
(864) 962-6683
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8778
SC
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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