Kelvin Bostick, D.D.S

NPI #1477925824 in Ridgeland, South Carolina

Provider Information

NPI Number: 1477925824
Entity Type: Individual
Name: Kelvin Bostick, D.D.S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S
Enumeration Date: Oct 26, 2015
Last Updated: Oct 26, 2015

Practice Location

Address: 10832 N JACOB SMART BLVD
City: Ridgeland
State: South Carolina
ZIP Code: 29936-2707
Phone: (843) 726-5711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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