Chanda Trishaune Elzie Medlock, D.D.S.
NPI #1073531968 in Okatie, South Carolina
Provider Information
- NPI Number
- 1073531968
- Entity Type
- Individual
- Name
- Chanda Trishaune Elzie Medlock, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Jul 18, 2006
- Last Updated
- Mar 11, 2020
Practice Location
- Address
- 719 OKATIE HWY # 170
- City
- Okatie
- State
- South Carolina
- ZIP Code
- 29909-3963
- Phone
- (843) 987-7400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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