DEIDRE BERGER CROCKETT

COLUMBIA, SC
NPI1003978099
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: SC  4192)
Enumeration Date2006-12-15
Last Update Date2007-07-08
Business Address
Dr. DEIDRE BERGER CROCKETT D.M.D.
5251 FOREST DR
COLUMBIA, SC 29206-4920
Phone number: 803-787-9793
Mailing Address
Dr. DEIDRE BERGER CROCKETT D.M.D.
5251 FOREST DR
COLUMBIA, SC 29206-4920
Phone number: 803-787-9793
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