Individual
PATRICIA L. BLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
531 FOLLY RD, CHARLESTON, SC 29412-3007
(843) 795-1111
(843) 795-8275
Mailing address
531 FOLLY RD, CHARLESTON, SC 29412-3007
(843) 795-1111
(843) 795-8275
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
10289
TX
1223P0300X
Periodontics
Primary
8346
SC
Other
Enumeration date
07/24/2006
Last updated
02/18/2021
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