Individual
MARK V MUNCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
420 THE PARKWAY, STE B, GREER, SC 29650
(864) 877-3232
(864) 877-3773
Mailing address
420 THE PARKWAY, STE B, GREER, SC 29650
(864) 877-3232
(864) 877-3773
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3515SC
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA3515
—
SC
Enumeration date
03/13/2007
Last updated
07/08/2007
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