RUSSELL ALLEN BOATWRIGHT

CONWAY, SC
NPI1174694004
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: SC  2775)
Enumeration Date2006-11-13
Last Update Date2007-07-08
Business Address
DR. RUSSELL ALLEN BOATWRIGHT D.M.D.
1603 10TH AVE
CONWAY, SC 29526-4111
Phone number: 843-248-2705
Mailing Address
DR. RUSSELL ALLEN BOATWRIGHT D.M.D.
PO BOX 1077
CONWAY, SC 29528-1077
Phone number: 843-248-2705