Individual
REESE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
419 W MARTINTOWN RD, NORTH AUGUSTA, SC 29841-3175
(803) 599-5944
Mailing address
1004 MURRAY CT, AIKEN, SC 29803-5826
(803) 761-1573
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.10941GD
SC
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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