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Individual

DR. JULIA E CORREAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1188 STONECREST BLVD STE 104, TEGA CAY, SC 29708-6633
(888) 764-5314
(888) 764-5314
Mailing address
1188 STONECREST BLVD, TEGA CAY, SC 29708-6632
(888) 764-5314
(888) 764-5314

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
048104
NY
1223G0001X
General Practice Dentistry
Primary
8825
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1174112387
NPI 2
SC
Enumeration date
07/18/2006
Last updated
02/25/2021
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