Mark G. Pelletier, D.D.S.
NPI #1013983626 in Irmo, South Carolina
Provider Information
- NPI Number
- 1013983626
- Entity Type
- Individual
- Name
- Mark G. Pelletier, D.D.S.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- D.D.S.
- Enumeration Date
- Feb 23, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 900 LAKE MURRAY BLVD
- Address 2
- SUITE 200
- City
- Irmo
- State
- South Carolina
- ZIP Code
- 29063-2923
- Phone
- (803) 781-7901
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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