ALLEN NATHANIEL GUSTIN

WALTERBORO, SC
NPI1598957748
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: SC  SC1532)
Additional Taxonomies122300000X Dentist
(Licence: VA  3851)
Enumeration Date2007-08-13
Last Update Date2007-08-13
Business Address
Mr. ALLEN NATHANIEL GUSTIN DDS
113 MAGNOLIA STREET
WALTERBORO, SC 29488-0027
Phone number: 843-549-1215
Mailing Address
Mr. ALLEN NATHANIEL GUSTIN DDS
PO BOX 402
WALTERBORO, SC 29488-0027
Phone number: 843-549-1215
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