Lucius F Wates Dmd PA
NPI #1427178185 in Kingstree, South Carolina
Provider Information
- NPI Number
- 1427178185
- Entity Type
- Organization
- Organization Name
- Lucius F Wates Dmd PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 29, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 509 THURGOOD MARSHALL HWY
- City
- Kingstree
- State
- South Carolina
- ZIP Code
- 29556-4107
- Phone
- (843) 355-9295
Authorized Official
- Name
- DR. LUCIUS FRANKLIN WATES, DMD
- Title
- PRES. OF CORPORATION
- Phone
- (843) 355-9295
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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