Individual
DR. JACK LLOYD KILGORE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
41 BEAVER DAM CT, COLUMBIA, SC 29223-3122
(803) 699-9697
(803) 736-5358
Mailing address
41 BEAVER DAM CT, COLUMBIA, SC 29223-3122
(803) 699-9697
(803) 736-5358
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2662
SC
Other
Enumeration date
12/02/2005
Last updated
07/08/2007
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