MARK G. PELLETIER

IRMO, SC
NPI1013983626
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: SC  SC3232)
Enumeration Date2006-02-23
Last Update Date2007-07-08
Business Address
-- MARK G. PELLETIER D.D.S.
900 LAKE MURRAY BLVD SUITE 200
IRMO, SC 29063-2923
Phone number: 803-781-7901
Mailing Address
-- MARK G. PELLETIER D.D.S.
PO BOX 1181
IRMO, SC 29063-1181
Phone number: 803-781-7901