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Individual

DR. EDNA LAZETTA GILES-WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
400 RUTLEDGE ST, CAMDEN, SC 29020-4423
(803) 425-1125
(803) 425-8862
Mailing address
400 RUTLEDGE ST, CAMDEN, SC 29020-4423
(803) 425-1125
(803) 425-8862

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2863
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Z28630
SC
Enumeration date
03/07/2007
Last updated
08/14/2012
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