Individual
KENNETH ZAMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
216 E MAIN ST, MONCKS CORNER, SC 29461-3709
(843) 818-5437
(843) 725-1594
Mailing address
216 E MAIN ST, MONCKS CORNER, SC 29461-3709
(843) 818-5437
(843) 725-1594
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DGD.8104GD
SC
Other
Enumeration date
07/04/2012
Last updated
07/04/2012
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