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198 Rutledge Ave #3 Charleston SC 29403-5817 | |
| (843) 723-5405 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 198 Rutledge Ave, Charleston, South Carolina |
| Authorized Official Name and Position | Marla Teresa Mcmahon (GENERAL DENTIST PRACTICE OWNER) |
| Authorized Official Contact | 8437235405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
198 Rutledge Ave #3 Charleston SC 29403-5817 Ph: (843) 723-5405 | 198 Rutledge Ave #3 Charleston SC 29403-5817 Ph: (843) 723-5405 |
| NPI Number | 1710005574 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 04/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710005574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3332 (South Carolina) | Primary |
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