| Amanda Komisarow Dmd Llc | |
|
924 Tall Pine Rd Mount Pleasant SC 29464-2990 | |
| (404) 626-1969 | |
| Not Available |
| Full Name | Amanda Komisarow Dmd Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 924 Tall Pine Rd, Mount Pleasant, South Carolina |
| Authorized Official Name and Position | Amanda Komisarow (MEMBER) |
| Authorized Official Contact | 4046261969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Komisarow Dmd Llc 5 Emily Dr Charleston SC 29407-6724 Ph: () - | Amanda Komisarow Dmd Llc 924 Tall Pine Rd Mount Pleasant SC 29464-2990 Ph: (404) 626-1969 |
| NPI Number | 1215600242 |
|---|---|
| Provider Enumeration Date | 07/27/2021 |
| Last Update Date | 07/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215600242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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