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Individual

DR. JANICE MARIE ALLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
411 MEADOWLARK STREET, SHAW AIR FORCE BASE, SHAW AFB, SUMTER, SC 29152-5019
(803) 895-6064
(803) 895-6539
Mailing address
411 MEADOWLARK STREET, SHAW AIR FORCE BASE, SHAW AFB, SUMTER, SC 29152-5019
(803) 895-6064
(803) 895-6539

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10342
MD

Other

Enumeration date
11/22/2005
Last updated
07/08/2007
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