Edward Wesley Teal JR. DMD

NPI 1013988344 - Dentist - 122300000X

NPI Details
NPI 1013988344
Gender Male
Enumeration Date 01/26/2006
Last Updated 03/05/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
4004 BAYBORO ST
LORIS SC, 29569-2867, US
Phone (843) 756-2273
Fax (843) 756-0242
Business Location
4004 BAYBORO STREET
LORIS SC, 29569, US
Phone (843) 756-2273
Fax (843) 756-0242
Toxanomy
Taxonomy Code 122300000X
License State South Carolina
License Number 2834
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According to our database, Dr. Edward Wesley Teal JR. DMD NPI is 1013988344, taxonomy code is 122300000X and license number is 2834, license state is located at South Carolina. Edward Wesley Teal JR. DMD physically located at 4004 Bayboro St, Loris SC, 29569-2867. NPI Number Edward Wesley Teal JR. DMD has the Individual type.

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1013988344 NPI number is provided on an as is basis without warranty of any kind. 1013988344 is maintained by the National Plan & Provider Enumeration System. The contents of Edward Wesley Teal JR. DMD are for informational purposes only.