DR. Holly Mangum, DMD

NPI #1144483728 in Loris, South Carolina

Provider Information

NPI Number: 1144483728
Entity Type: Individual
Name: DR. Holly Mangum, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 3, 2008
Last Updated: Jul 3, 2008

Practice Location

Address: 4004 BAYBORO ST
City: Loris
State: South Carolina
ZIP Code: 29569-2867
Phone: (843) 756-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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