Individual
DR. JAMIE CROSS GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
139 WHITEFORD WAY, LEXINGTON, SC 29072-7965
(803) 951-9100
Mailing address
139 WHITEFORD WAY, LEXINGTON, SC 29072-7965
(803) 951-9100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
SC3858
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX3858
—
SC
Enumeration date
11/28/2006
Last updated
07/08/2007
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