Individual
MONTANA HOUSAND WOOLLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1396 BOILING SPRINGS RD, SPARTANBURG, SC 29303-2273
(864) 578-0043
(864) 578-0044
Mailing address
201 N LIBERTY ST APT C205, SPARTANBURG, SC 29302-1118
(843) 344-4430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9416
SC
Other
Enumeration date
04/13/2020
Last updated
03/07/2024
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