Individual
MRS. LACHELLE HENDLEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
209 LATITUDE LANE, CLOVER, SC 29710
(803) 619-4511
(803) 619-4586
Mailing address
209 LATITUDE LANE, CLOVER, SC 29710
(803) 619-4511
(803) 619-4586
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8665
SC
1223G0001X
General Practice Dentistry
DN19455
FL
Other
Enumeration date
07/15/2011
Last updated
12/03/2025
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