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1710916713
MARK ANTHONIE GOEDECKE
MT PLEASANT, SC
NPI
1710916713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: SC 3498)
Enumeration Date
2006-07-02
Last Update Date
2007-07-08
Business Address
Dr. MARK ANTHONIE GOEDECKE D.M.D., F.A.G.D
709 LONG POINT RD STE B
MT PLEASANT, SC 29464-8287
Phone number: 843-971-9594
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Mailing Address
Dr. MARK ANTHONIE GOEDECKE D.M.D., F.A.G.D
709 LONG POINT RD STE B
MT PLEASANT, SC 29464-8287
Phone number: 843-971-9594
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