HOLLY MANGUM

LORIS, SC
NPI1144483728
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: SC  4487)
Enumeration Date2008-07-03
Last Update Date2008-07-03
Business Address
Dr. HOLLY MANGUM DMD
4004 BAYBORO ST
LORIS, SC 29569-2867
Phone number: 843-756-2273
Mailing Address
Dr. HOLLY MANGUM DMD
4004 BAYBORO ST
LORIS, SC 29569-2867
Phone number: 843-756-2273