Individual
NINA PANVELKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
214 W HOME AVE, HARTSVILLE, SC 29550-4126
(843) 332-1331
Mailing address
214 W HOME AVE, HARTSVILLE, SC 29550-4126
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
061591
NY
1223G0001X
General Practice Dentistry
Primary
10079
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2019
Last updated
02/06/2023
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