Individual
MADISON RAE LANIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
126 BARTON CREEK CT, COLUMBIA, SC 29229-8027
(803) 281-3570
Mailing address
403 OCEANIA NECK CT, LEXINGTON, SC 29073-7250
(843) 302-9037
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9432
SC
Other
Enumeration date
07/15/2019
Last updated
02/02/2024
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