Individual
DR. SHERRY BENENHALEY RAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7436 BROAD RIVER RD, SUITE 111, IRMO, SC 29063-7601
(803) 749-3333
(803) 749-3335
Mailing address
671 TWIN PINE DR, CHAPIN, SC 29036-8025
(803) 414-3886
(803) 749-3335
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4654
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX4654
—
SC
Enumeration date
07/01/2008
Last updated
08/17/2011
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