| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 808 Wappoo Rd, Charleston, South Carolina |
| Authorized Official Name and Position | Margaret Rebecca Sanders Ward (OWNER) |
| Authorized Official Contact | 8438185437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
808 Wappoo Rd Ste 600 Charleston SC 29407-5865 Ph: (843) 818-5437 | 808 Wappoo Rd Charleston SC 29407 Ph: (843) 818-5437 |
| NPI Number | 1669726048 |
|---|---|
| Provider Enumeration Date | 11/06/2012 |
| Last Update Date | 12/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669726048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 3253 (South Carolina) | Primary |
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