Individual
LAUREN FORSTER CALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1133 N JEFFERIES BLVD, WALTERBORO, SC 29488-2729
(843) 549-5584
Mailing address
105 HISTORY LN, SUMMERVILLE, SC 29485-7850
(843) 352-7998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8096
SC
Other
Enumeration date
03/08/2013
Last updated
10/31/2024
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