Individual
MRS. TRACEY BROWN BUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
320 RIDGE ST, BISHOPVILLE, SC 29010-1038
(803) 459-6180
Mailing address
320 RIDGE ST, BISHOPVILLE, SC 29010-1038
(803) 459-6180
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1880
SC
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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