ALITA DARMAYANTI LUBIS

GREENVILLE, SC
NPI1598477838
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: SC  DGD.10601)
Enumeration Date2022-12-19
Last Update Date2023-08-02
Business Address
ALITA DARMAYANTI LUBIS DMD
6134 WHITE HORSE RD STE C
GREENVILLE, SC 29611-3847
Phone number: 864-295-2744
Mailing Address
ALITA DARMAYANTI LUBIS DMD
2253 ASPEN RIDGE CT
JACKSONVILLE, FL 32233-6384
Phone number: 904-654-5616
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