Individual
DR. TERESA C. FAKOURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
733 REYNOLDS RD, BARNWELL, SC 29812-1521
(803) 259-3497
Mailing address
733 REYNOLDS RD, BARNWELL, SC 29812-1521
(803) 259-3497
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1929
SC
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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