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1568554574
COREY JOE SHEPPARD
CHARLESTON, SC
NPI
1568554574
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MI 2901019364)
Enumeration Date
2006-09-28
Last Update Date
2012-05-09
Business Address
Dr. COREY JOE SHEPPARD DDS
29 BEE ST 4TH FLOOR
CHARLESTON, SC 29425-0001
Phone number: 843-876-8815
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Mailing Address
Dr. COREY JOE SHEPPARD DDS
469 CESSNA AVE
CHARLESTON, SC 29407-2253
Phone number: 757-289-1218
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