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Individual

LUKE BERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
632 FRONT ST, GEORGETOWN, SC 29440-3624
(843) 546-5994
Mailing address
632 FRONT ST, GEORGETOWN, SC 29440-3624
(843) 546-5994

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10579
SC

Other

Enumeration date
07/03/2023
Last updated
07/03/2023
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