Individual
DR. JOHN EDWARD ISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8151 ROURK ST, MYRTLE BEACH, SC 29572
(843) 449-4372
(843) 497-9853
Mailing address
8151 ROURK ST, MYRTLE BEACH, SC 29572
(843) 449-4372
(843) 497-9853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2995
SC
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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