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1902814841
D ALTON FANNING
BEAUFORT, SC
NPI
1902814841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: SC SC3162)
Enumeration Date
2006-08-04
Last Update Date
2007-07-08
Business Address
D ALTON FANNING DMD
1264 RIBAUT ROAD STE 401
BEAUFORT, SC 29902
Phone number: 843-524-7950
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Mailing Address
D ALTON FANNING DMD
1264 RIBAUT ROAD STE 401
BEAUFORT, SC 29902
Phone number: 843-524-7950
Copy
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