Organization
DR GWYN GORDON MCCUTCHEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWYN GORDON MCCUTCHEN DDS (PRESIDENT)
(843) 756-5747
Entity
Organization
Contact information
Practice address
3681 SPIVEY STREET, LORIS, SC 29569
(843) 756-5747
(843) 756-5749
Mailing address
POST OFFICE BOX 220, LORIS, SC 29569
(843) 756-5747
(843) 756-5749
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1597
SC
Other
Enumeration date
03/26/2007
Last updated
02/24/2012
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