Organization
GOEDECKE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ANTONIE GOEDECKE D.M.D, F.A.G.D (DENTIST)
(843) 971-9594
Entity
Organization
Contact information
Practice address
709 LONG POINT RD, STE B, MT PLEASANT, SC 29464-8287
(843) 971-9594
(843) 971-3034
Mailing address
709 LONG POINT RD STE B, MT PLEASANT, SC 29464-8287
(843) 971-9594
(843) 971-3034
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3498
SC
Other
Enumeration date
08/22/2006
Last updated
08/22/2020
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