Individual
LATONYA TERESA STEVENSON-WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4323 HILL ST, COLUMBIA, SC 29207-6022
(803) 751-5178
Mailing address
110 MONTAUK DR, LEXINGTON, SC 29072-6776
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9905
SC
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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