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Individual

DR. JOSHUA LUSSAN SUMMERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
32 POETS COR APT A, CHARLESTON, SC 29412-3608
(843) 722-0975
Mailing address
32 POETS COR APT A, CHARLESTON, SC 29412-3608

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4371
SC

Other

Enumeration date
07/01/2008
Last updated
07/01/2008
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