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1356791446
KATIE LAUREN RIESENBERG
MYRTLE BEACH, SC
NPI
1356791446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: SC 9281)
Additional Taxonomies
122300000X Dentist
(Licence: OH 30.024988)
Enumeration Date
2016-06-20
Last Update Date
2019-01-31
Business Address
Dr. KATIE LAUREN RIESENBERG D.M.D.
3074 DEVILLE ST
MYRTLE BEACH, SC 29577
Phone number: 843-839-4554
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Mailing Address
Dr. KATIE LAUREN RIESENBERG D.M.D.
3074 DEVILLE ST
MYRTLE BEACH, SC 29577-1569
Phone number: 513-484-4740
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