Mayes Mcentire DMD

NPI 1609012996 - Dentist - 1223E0200X

NPI Details
NPI 1609012996
Gender Male
Enumeration Date 12/17/2008
Last Updated 12/17/2008
Entity Type Individual
Active Over 7 years ago
Practice Location
4023 FOREST DR
COLUMBIA SC, 29204-4313, US
Phone (803) 782-7722
Fax (803) 782-4573
Business Location
4023 FOREST DR
COLUMBIA SC, 29204-4313, US
Phone (803) 782-7722
Fax (803) 782-4573
Toxanomy
Taxonomy Code 1223E0200X
License State South Carolina
License Number 4317
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According to our database, Mayes Mcentire DMD NPI is 1609012996, taxonomy code is 1223E0200X and license number is 4317, license state is located at South Carolina. Mayes Mcentire DMD physically located at 4023 Forest Dr, Columbia SC, 29204-4313. NPI Number Mayes Mcentire DMD has the Individual type.

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1609012996 NPI number is provided on an as is basis without warranty of any kind. 1609012996 is maintained by the National Plan & Provider Enumeration System. The contents of Mayes Mcentire DMD are for informational purposes only.