Individual
DR. EDWARD WESLEY TEAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4004 BAYBORO ST, LORIS, SC 29569-2867
(843) 756-2273
(843) 756-0242
Mailing address
4004 BAYBORO STREET, LORIS, SC 29569
(843) 756-2273
(843) 756-0242
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2834
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z28346
—
SC
Enumeration date
01/26/2006
Last updated
03/05/2012
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