Individual
MARJORIE J RISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
372 S HERLONG AVE, ROCK HILL, SC 29732-1160
(803) 324-1160
(803) 324-2456
Mailing address
372 S HERLONG AVE, ROCK HILL, SC 29732-1160
(803) 324-1160
(803) 324-2456
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
SC3371
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z33713
—
SC
Enumeration date
01/20/2006
Last updated
10/16/2007
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