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Individual

DR. JAMES MATTHEW CANDON III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
2012 BRIDGEMILL DR STE 108, INDIAN LAND, SC 29707-9221
(803) 650-3925
(803) 650-3926
Mailing address
2012 BRIDGEMILL DR STE 108, INDIAN LAND, SC 29707-9221
(803) 650-3925
(803) 650-3926

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9104
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0171156
OH
Enumeration date
05/31/2016
Last updated
10/12/2021
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