Individual
DR. EDITH M. GORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
137 AMICKS FERRY RD., CHAPIN, SC 29036
(803) 345-5811
(803) 345-5814
Mailing address
137 AMICKS FERRY RD., CHAPIN, SC 29036
(803) 345-5811
(803) 345-5814
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC3805
SC
Other
Enumeration date
11/01/2007
Last updated
11/01/2007
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