Individual
DR. JARED PRESTON TAVERNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
321 N CAMBRIDGE ST, NINETY SIX, SC 29666-1012
(864) 543-4109
Mailing address
321 N CAMBRIDGE ST, NINETY SIX, SC 29666-1012
(864) 543-4109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8591
SC
Other
Enumeration date
07/06/2015
Last updated
07/06/2015
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