Individual
DR. BENNIE CLARK DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
1203 MAIN STREET, HILTON HEAD ISLAND, SC 29926-1620
(843) 342-3636
(843) 342-9294
Mailing address
1203 MAIN STREET, HILTON HEAD ISLAND, SC 29926-1620
(843) 342-3636
(843) 342-9294
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
483
SC
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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