Individual
DR. LAVONNE KELLY FORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MSD
Contact information
Practice address
915 FOLLY RD STE T, CHARLESTON, SC 29412-3907
(843) 642-8100
(843) 566-0706
Mailing address
915 FOLLY RD STE T, CHARLESTON, SC 29412-3907
(843) 642-8100
(843) 566-0706
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9106-981
SC
Other
Enumeration date
04/16/2007
Last updated
04/09/2020
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