Individual
GRETCHEN NICOLE PAWLOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11132 BROAD RIVER RD, SUITE A AND B, IRMO, SC 29063-9668
(740) 350-7979
Mailing address
11132 BROAD RIVER RD, SUITE A & B, IRMO, SC 29063-9668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8241
SC
Other
Enumeration date
01/14/2013
Last updated
07/25/2016
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