Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 759 | SC |
NPI | 1043277684 |
---|---|
Provider Name | Dr. Michael Francis Cuenin |
First Address | Mount Pleasant, SC 29464 |
Second Address | Mount Pleasant, SC 29464 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 12/09/2011 |