Individual
NOLIN CLARK BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7241 BROAD RIVER RD, IRMO, SC 29063-8164
(803) 732-3650
Mailing address
3201 CORNWALL RD, COLUMBIA, SC 29204-3522
(843) 602-8259
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10526
SC
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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