Individual
SEANNA MUIRE MATTISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
51 STATION CT STE C, EDISTO, SC 29438-3012
(843) 869-3368
Mailing address
51 STATION CT STE C, EDISTO, SC 29438-3012
(843) 869-3368
(843) 869-3365
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8865
SC
Other
Enumeration date
06/16/2009
Last updated
09/28/2021
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