KOURTLAND HAILE

COLUMBIA, SC
NPI1750949020
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: SC  9376)
Enumeration Date2019-06-03
Last Update Date2019-06-03
Business Address
KOURTLAND HAILE
2020 LAUREL ST
COLUMBIA, SC 29204-1019
Phone number: 803-524-4543
Mailing Address
KOURTLAND HAILE
2020 LAUREL ST
COLUMBIA, SC 29204-1019
Phone number: 803-524-4543
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