Individual
MARGARET LAUREN JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
16 MILLS AVE STE 1, GREENVILLE, SC 29605-4065
(864) 242-4848
Mailing address
16 MILLS AVE STE 1, GREENVILLE, SC 29605-4065
(864) 242-4848
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6902
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZX6902
—
SC
Enumeration date
07/08/2010
Last updated
05/19/2011
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