| NPI | 1710005574 |
|---|---|
| Other Name | MARLA T MCMAHON SIMMONS |
| Entity Type | Organization |
| Authorized Contact | MARLA TERESA MCMAHON General Dentist Practice Owner 843-723-5405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3332) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2016-04-07 |