Individual
DR. RAY ALLEN LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
24 BOZARD ST, MANNING, SC 29102-2935
(803) 435-8845
(803) 435-1290
Mailing address
24 BOZARD ST, MANNING, SC 29102-2935
(803) 435-8845
(803) 435-1290
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC1894
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z18945
—
SC
Enumeration date
03/04/2007
Last updated
07/08/2007
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