Individual
DR. LON R DOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2320 COSGROVE AVE, CHARLESTON, SC 29405-7644
(843) 554-5003
(843) 745-0003
Mailing address
2320 COSGROVE AVE, CHARLESTON, SC 29405-7644
(843) 554-5003
(843) 745-0003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1927
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
832713
UNITED CONCORDIA GROUP
SC
05
—
Z19276
—
SC
Enumeration date
12/08/2006
Last updated
01/11/2008
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