Individual
JULIAN GAPUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1825 S LAKE DR, LEXINGTON, SC 29073-7759
(843) 327-3175
Mailing address
1825 S LAKE DR, LEXINGTON, SC 29073-7759
(843) 327-3175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8831
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
03/16/2015
Last updated
09/12/2016
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