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1871101667
ALLEN TIMOTHY LOLLIS
SPARTANBURG, SC
NPI
1871101667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: SC DGD.9665)
Enumeration Date
2020-07-17
Last Update Date
2020-07-17
Business Address
ALLEN TIMOTHY LOLLIS DMD
631 N CHURCH ST
SPARTANBURG, SC 29303-3046
Phone number: 864-308-1355
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Mailing Address
ALLEN TIMOTHY LOLLIS DMD
631 N CHURCH ST
SPARTANBURG, SC 29303-3046
Phone number: 864-308-1355
Copy
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