Individual
DANA LYNN BLALOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3464 MAYBANK HWY, JOHNS ISLAND, SC 29455-4820
(843) 559-3530
(843) 559-2693
Mailing address
1022 PHYSICIANS DR # B, CHARLESTON, SC 29414-5719
(843) 494-5004
(866) 462-0121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3158
SC
Other
Enumeration date
07/16/2006
Last updated
04/02/2021
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