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1154019636
LUKE ELLINGTON SEVERANCE
CHARLESTON, SC
NPI
1154019636
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: SC 10256)
Enumeration Date
2023-04-24
Last Update Date
2023-04-24
Business Address
Dr. LUKE ELLINGTON SEVERANCE DMD
538 SAVANNAH HWY
CHARLESTON, SC 29407-7210
Phone number: 843-722-1676
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Mailing Address
Dr. LUKE ELLINGTON SEVERANCE DMD
73 FOLLY ROAD BLVD
CHARLESTON, SC 29407-7547
Phone number: 843-610-0815
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