Individual
DR. ENIKO K MACRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.S.
Contact information
Practice address
3 K MART PLZ, GREENVILLE, SC 29605-4442
(864) 236-4770
(864) 552-9952
Mailing address
1090 NORTHCHASE PKWY SE STE 290, MARIETTA, GA 30067-6402
(770) 916-9000
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DGD.8482 GD
SC
Other
Enumeration date
12/09/2014
Last updated
01/08/2019
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