SearchSouth Carolina1223G0001X

Susan Jaques, DMD

NPI 1568575363 · on the registry since 2006

Practice

Address
303 Burch Ford Rd
Holly Hill, SC 29059
Phone
(803) 496-9012
Fax
(803) 496-7054

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina