Individual
LOUQUIS CANTY BELK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
755 US HIGHWAY 21 S, RIDGEWAY, SC 29130-6844
(803) 337-2920
(803) 337-3010
Mailing address
PO BOX 3788, COLUMBIA, SC 29230-3788
(803) 733-5969
(803) 217-0026
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3414
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z34142
—
SC
Enumeration date
05/18/2006
Last updated
03/25/2014
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