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1003033192
MARY VICTORIA TATUM
CHARLESTON, SC
NPI
1003033192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: SC 3084)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
Dr. MARY VICTORIA TATUM DMD
92 COURTENAY DR
CHARLESTON, SC 29403-5742
Phone number: 843-577-6112
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Mailing Address
Dr. MARY VICTORIA TATUM DMD
92 COURTENAY DR
CHARLESTON, SC 29403-5742
Phone number: 843-577-6112
Copy
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