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CEDRICK BROWN MCDONALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
9787 CHARLOTTE HWY, SUITE 201, INDIAN LAND, SC 29707-8103
(803) 547-2280
Mailing address
9787 CHARLOTTE HWY, SUITE 201, INDIAN LAND, SC 29707-8103
(803) 547-2280

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
150632
NC
1223G0001X
General Practice Dentistry
Primary
4382
SC
1223G0001X
General Practice Dentistry
DN015148
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZX4382
SC
Enumeration date
07/23/2007
Last updated
02/11/2023
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