Individual
DR. RAEFORD LEE CLANTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
203 S MARION ST, LATTA, SC 29565-1522
(843) 752-7655
(843) 752-4500
Mailing address
203 S MARION ST, LATTA, SC 29565-1522
(843) 752-7655
(843) 752-4500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1920
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z1920-3
—
SC
Enumeration date
12/15/2005
Last updated
07/08/2007
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