Individual
PAUL GWENGI-ANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
600 E PALMETTO ST, FLORENCE, SC 29506-2851
(843) 667-9414
(843) 667-1362
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8844
SC
Other
Enumeration date
09/22/2016
Last updated
10/19/2016
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