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1558595074
MARK LANE MCENTIRE
CHARLESTON, SC
NPI
1558595074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist, Periodontics
(Licence: SC 4488)
Enumeration Date
2009-05-12
Last Update Date
2009-05-12
Business Address
Dr. MARK LANE MCENTIRE D.M.D.
173 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-792-2880
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Mailing Address
Dr. MARK LANE MCENTIRE D.M.D.
1025 RIVERLAND WOODS PL APT 906
CHARLESTON, SC 29412-4141
Phone number: 803-924-3857
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