Dehaven Preston Taylor, LDO
Dehaven Preston Taylor, LDO is an Optician in Moncks Corner, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.
- Licensed in
- SC
- In the registry since
- 2022
Practice location Address checks out
511 N Highway 52Moncks Corner, SC 29461-3132
Phone: (843) 899-5872
Fax: (843) 899-5875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 1207 (SC) |
|---|
Record details
| NPI number | 1194457358 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LDO |
| Sole proprietor | Yes |
| NPI enumerated | June 27, 2022 |
| Last updated in NPPES | June 27, 2022 |
| Certification date | June 27, 2022 |
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511 N Highway 52, Moncks Corner, SC 29461-3132 · (843) 899-5701