Individual
OUIDA MARINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
882 COOK RD, ORANGEBURG, SC 29118-2126
(803) 536-9503
Mailing address
105 KNIGHTSBRIDGE DR, NORTH CHARLESTON, SC 29418-3061
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11139
SC
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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