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Individual

DR. ALBERT DRANE OLIPHANT IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD, MD

Contact information

Practice address
125 WAPPOO CREEK DR # C, CHARLESTON, SC 29412-2163
(843) 762-9028
(843) 762-9030
Mailing address
125 WAPPOO CREEK DR # C, CHARLESTON, SC 29412-2163
(843) 762-9028
(843) 762-9030

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
8500
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7125
SC

Other

Enumeration date
07/09/2008
Last updated
06/15/2013
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