Riesenberg, Katie Lauren

Riesenberg, Katie Lauren is an individual health care provider with primary practice located at 3074 Deville St , Myrtle Beach SC 29577. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Riesenberg, Katie Lauren can be contacted via phone (843) 839-4554.

Contact Information

Primary practice address
3074 Deville St Myrtle Beach SC 29577
Phone: (843) 839-4554
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30.024988 Ohio
Dental Providers / Dentist 122300000X 9281 South Carolina

Profile Details

NPI number 1356791446
LBN Legal business name Riesenberg, Katie Lauren
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2016
Last updated Jan 31st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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