Individual
MCKENZIE RAE BOCKLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1859 SAVAGE ROAD, CHARLESTON, SC 29407-4726
(843) 722-5733
Mailing address
1859 SAVAGE ROAD, CHARLESTON, SC 29407-4726
(843) 722-5733
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9915
SC
Other
Enumeration date
06/09/2021
Last updated
05/18/2022
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