Dental Care Of Charlestown Pa | |
839 Wappoo Rd Charleston SC 29407-5866 | |
(843) 556-4746 | |
(843) 556-5435 |
Full Name | Dental Care Of Charlestown Pa |
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Speciality | Dentist |
Location | 839 Wappoo Rd, Charleston, South Carolina |
Authorized Official Name and Position | Wally Thompson Austella (OWNER DENTIST) |
Authorized Official Contact | 8435564746 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Care Of Charlestown Pa 839 Wappoo Rd Charleston SC 29407-5866 Ph: (843) 556-4746 | Dental Care Of Charlestown Pa 839 Wappoo Rd Charleston SC 29407-5866 Ph: (843) 556-4746 |
NPI Number | 1003894866 |
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Provider Enumeration Date | 01/03/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1003894866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 2473 (South Carolina) | Primary |
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