MICAH J PUTNAM

COLUMBIA, SC
NPI1861063448
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: UT  12330675-9922)
Enumeration Date2021-07-06
Last Update Date2021-07-06
Business Address
MICAH J PUTNAM
4323 HILL ST
COLUMBIA, SC 29207-6022
Phone number: 803-751-4512
Mailing Address
MICAH J PUTNAM
4323 HILL ST
COLUMBIA, SC 29207-6022
Phone number: