Individual
ELIZABETH BLAKENEY SITTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3463 US-21 #101, FORT MILL, SC 29715
(520) 488-8612
Mailing address
1440 HARDING PL APT 445, CHARLOTTE, NC 28204-0040
(520) 488-8612
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9670
SC
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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