Individual
MAYES MCENTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4023 FOREST DR, COLUMBIA, SC 29204-4313
(803) 782-7722
(803) 782-4573
Mailing address
4023 FOREST DR, COLUMBIA, SC 29204-4313
(803) 782-7722
(803) 782-4573
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4317
SC
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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