Crystal Isenhower, Dmd, LLC

NPI #1629184171 in Conway, South Carolina

Provider Information

NPI Number: 1629184171
Entity Type: Organization
Organization Name: Crystal Isenhower, Dmd, LLC
Primary Specialty: Dentist
Enumeration Date: Aug 21, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 107 WACCAMAW MEDICAL PARK DR
City: Conway
State: South Carolina
ZIP Code: 29526-8902
Phone: (843) 234-3110

Authorized Official

Name: DR. CRYSTAL RAE ISENHOWER, DMD
Title: DENTIST
Phone: (843) 234-3110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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