Individual
DAVID M. MCINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
411 S PENDLETON ST, EASLEY, SC 29640-3051
(864) 859-1676
Mailing address
411 S PENDLETON ST, EASLEY, SC 29640-3051
(864) 859-1676
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3178SPEC437
SC
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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