Individual
CASSIDY LAUREN KRAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1417 FOLLY RD STE 402, CHARLESTON, SC 29412-9737
(843) 606-6098
Mailing address
531 UNDERWOOD LN, SUMMERVILLE, SC 29486-7874
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9968
SC
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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