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Individual

DR. TAURUS ALONZE FARROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
216 E MAIN ST, MONCKS CORNER, SC 29461-3709
(843) 891-6521
Mailing address
216 E MAIN ST, MONCKS CORNER, SC 29461-3709
(843) 891-6521

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
057628
NY
1223P0221X
Pediatric Dentistry
Primary
9518
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZX9417
SC
Enumeration date
07/22/2013
Last updated
01/25/2021
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