Mark G. Pelletier, Dds, PA
NPI #1174797526 in Irmo, South Carolina
Provider Information
- NPI Number
- 1174797526
- Entity Type
- Organization
- Organization Name
- Mark G. Pelletier, Dds, PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 16, 2008
- Last Updated
- Apr 16, 2008
Practice Location
- Address
- 900 LAKE MURRAY BLVD
- City
- Irmo
- State
- South Carolina
- ZIP Code
- 29063-2923
- Phone
- (803) 781-7901
Authorized Official
- Name
- DR. MARK G. PELLETIER, D.D.S.
- Title
- PRESIDENT/DENTIST
- Phone
- (803) 781-7901
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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