Marissa Ann Whitehead, DME
NPI #1033478060 in Columbia, South Carolina
Provider Information
- NPI Number
- 1033478060
- Entity Type
- Individual
- Name
- Marissa Ann Whitehead, DME
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DME
- Enumeration Date
- May 11, 2012
- Last Updated
- May 11, 2012
Practice Location
- Address
- 10 MEDICAL PARK
- Address 2
- PALMETTO HEALTH RICHLAND - DENTAL EDUC
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29203
- Phone
- (803) 434-6567
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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