Individual
AMANDA HO VAN GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
122 S GOOSE CREEK BLVD STE A, GOOSE CREEK, SC 29445-3136
(843) 764-3081
Mailing address
3122 MORNINGDALE DR, MOUNT PLEASANT, SC 29466-8544
(843) 475-7132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9673
SC
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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