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1043350507
MICHELLE LYNNE MISTELE
IRMO, SC
NPI
1043350507
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: SC 003337)
Enumeration Date
2007-02-07
Last Update Date
2007-07-09
Business Address
MICHELLE LYNNE MISTELE D.M.D.
3533 DREHER SHOALS RD
IRMO, SC 29063-9115
Phone number: 803-732-3001
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Mailing Address
MICHELLE LYNNE MISTELE D.M.D.
1315 GLENN ST
NEWBERRY, SC 29108-3015
Phone number: 803-276-1329
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