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Individual

KALLIE B MOOREFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
347 RED CEDAR ST, BLUFFTON, SC 29910-8906
(843) 815-6500
Mailing address
1090 NORTHCHASE PKWY SE STE 290, MARIETTA, GA 30067-6402
(770) 916-9000
(678) 247-7862

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401413750
VA
1223G0001X
General Practice Dentistry
Primary
10183
SC

Other

Enumeration date
04/01/2013
Last updated
10/07/2022
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