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Individual

DR. JOHN L. PAVY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1500 HIGHWAY 17 N, THE COURTYARD 101, SURFSIDE BEACH, SC 29575-6081
(843) 238-5547
Mailing address
1500 HWY 1500 17N, THE COURTYARD 101, SURFSIDE BEACH, SC 29575-6079
(843) 238-5547

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2750
SC

Other

Enumeration date
04/29/2008
Last updated
04/29/2008
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