Dr Gwyn Gordon Mccutchen INC

NPI #1801914122 in Loris, South Carolina

Provider Information

NPI Number: 1801914122
Entity Type: Organization
Organization Name: Dr Gwyn Gordon Mccutchen INC
Primary Specialty: Dentist
Enumeration Date: Mar 26, 2007
Last Updated: Feb 24, 2012

Practice Location

Address: 3681 SPIVEY STREET
City: Loris
State: South Carolina
ZIP Code: 29569
Phone: (843) 756-5747

Authorized Official

Name: GWYN GORDON MCCUTCHEN, DDS
Title: PRESIDENT
Phone: (843) 756-5747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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