Individual
DR. KENT TANNER WASHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
625 CONSTITUTION DR, SUMTER, SC 29154-8190
(803) 699-9989
(803) 699-8035
Mailing address
400 MALLET HILL RD, APT D1, COLUMBIA, SC 29223-5726
(803) 699-9989
(803) 699-8035
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8136
SC
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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