Individual
DAVID ANDREW THIEROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2749 AGNES WY, MYRTLE BEACH, SC 29577
(843) 213-6653
Mailing address
2749 AGNES WY, MYRTLE BEACH, SC 29577-2029
(843) 213-6653
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10054
SC
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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