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1194805143
MARY WHITAKER CROCKETT
GREENVILLE, SC
NPI
1194805143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist Pediatric Dentistry
(Licence: SC SC3486)
Enumeration Date
2006-10-16
Last Update Date
2007-07-09
Business Address
DR. MARY WHITAKER CROCKETT D.M.D.
102 S VENTURE DR
GREENVILLE, SC 29615-3571
Phone number: 864-234-9800
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Mailing Address
DR. MARY WHITAKER CROCKETT D.M.D.
102 S VENTURE DR
GREENVILLE, SC 29615-3571
Phone number: 864-234-9800
Copy
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