Individual
TIFFIANY GOSNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1430 S COMMONS DR, MYRTLE BEACH, SC 29588-8087
(843) 712-7308
Mailing address
1430 S COMMONS DR, MYRTLE BEACH, SC 29588-8087
(843) 712-7308
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10494
SC
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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