Krystal Myers Teague, D.M.D. Valid NPI

Individual provider · General Practice Dentistry · Rock Hill, SC

NPI

1104052133

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

4599 (SC)

Sex

Female

Sole proprietor

No

Enumerated

2009-06-04

Last updated

2009-06-04