Individual
DR. ANTHONY SAMUEL MENNITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
39 PRESBYTERIAN ST, BAMBERG, SC 29003-1950
(803) 245-4335
Mailing address
2261 WOODLAND SHORES RD, CHARLESTON, SC 29412-2727
(843) 324-9667
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4032
SC
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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