ANTHONY WAYNE ETHERIDGE

COLUMBIA, SC
NPI1538758321
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: SC  4370)
Enumeration Date2021-01-15
Last Update Date2021-01-15
Business Address
Mr. ANTHONY WAYNE ETHERIDGE RDH
122 N BRICKYARD RD
COLUMBIA, SC 29223-6902
Phone number: 803-378-0142
Mailing Address
Mr. ANTHONY WAYNE ETHERIDGE RDH
801 BEASON RD
ORANGEBURG, SC 29115-8915
Phone number: 803-378-0142
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