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Individual

DR. KIMBERLY C. ELVINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
680 SENIOR WAY, FLORENCE, SC 29505
(843) 661-5700
(843) 661-5710
Mailing address
680 SENIOR WAY, FLORENCE, SC 29505
(843) 661-5700
(843) 661-5710

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3963
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZX3963
SC
Enumeration date
07/10/2006
Last updated
09/06/2013
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