MATTHEW RICHARD CARLISLE

INDIAN LAND, SC
NPI1639586456
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: SC  8492)
Additional Taxonomies122300000X Dentist
(Licence: NC  #9830)
Enumeration Date2014-07-14
Last Update Date2015-11-19
Business Address
-- MATTHEW RICHARD CARLISLE DMD
1028 EDGEWATER CORPORATE PKWY
INDIAN LAND, SC 29707
Phone number: 803-389-0197
Mailing Address
-- MATTHEW RICHARD CARLISLE DMD
1028 EDGEWATER CORPORATE PKWY
INDIAN LAND, SC 29707
Phone number: 803-389-0197