MARK ANTHONY CHISHOM

ELGIN, SC
NPI1417908328
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: SC  3253)
Additional Taxonomies1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: GA  DN014013)
Enumeration Date2006-05-15
Last Update Date2015-04-02
Business Address
Dr. MARK ANTHONY CHISHOM DMD
102 BUCKTHORN CIR
ELGIN, SC 29045-8695
Phone number: 803-477-4909
Mailing Address
Dr. MARK ANTHONY CHISHOM DMD
102 BUCKTHORN CIR
ELGIN, SC 29045-8695
Phone number: 803-477-4909