Individual
DR. MATTHEW J KORMYLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16 MILLS AVE, SUITE 7, GREENVILLE, SC 29605
(864) 235-7500
(864) 235-4315
Mailing address
16 MILLS AVE, SUITE 7, GREENVILLE, SC 29605
(864) 235-7500
(864) 235-4315
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3857
SC
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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