DR. Lucius Franklin Wates, DMD

NPI #1245218593 in Kingstree, South Carolina

Provider Information

NPI Number: 1245218593
Entity Type: Individual
Name: DR. Lucius Franklin Wates, DMD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jan 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 509 THURGOOD MARSHALL HWY
City: Kingstree
State: South Carolina
ZIP Code: 29556-4107
Phone: (843) 355-9295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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