Individual
DR. PETER D MAULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15 21ST AVE, ISLE OF PALMS, SC 29451-2384
(843) 761-8142
Mailing address
400 MEMORIAL DRIVE EXT STE 400, GREER, SC 29651-1850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.11101GD
SC
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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