DR. Mary Victoria Tatum, DMD
NPI #1003033192 in Charleston, South Carolina
Provider Information
- NPI Number
- 1003033192
- Entity Type
- Individual
- Name
- DR. Mary Victoria Tatum, DMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- Apr 19, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 92 COURTENAY DR
- City
- Charleston
- State
- South Carolina
- ZIP Code
- 29403-5742
- Phone
- (843) 577-6112
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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