All Medicaid billing entities listing GOURDINE, JEANINE (OWNER/DENTIST) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| South Carolina | 1 | $973.60 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | SMILE CENTER OF KNIGHTSVILLE | SUMMERVILLE, SC | General Practice Dentistry | $973.60 |