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1497322440
IVY ELLIS WHITE
MOUNT PLEASANT, SC
NPI
1497322440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: SC 9913)
Enumeration Date
2021-06-08
Last Update Date
2021-06-08
Business Address
Dr. IVY ELLIS WHITE
2928 N HIGHWAY 17
MOUNT PLEASANT, SC 29466-8958
Phone number: 843-856-8856
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Mailing Address
Dr. IVY ELLIS WHITE
2928 N HIGHWAY 17
MOUNT PLEASANT, SC 29466-8958
Phone number: 843-856-8856
Copy
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