Kathryn Bullwinkel Dmd Ms Llc | |
405 W 5th North St Summerville SC 29483-6515 | |
(803) 606-4988 | |
Not Available |
Full Name | Kathryn Bullwinkel Dmd Ms Llc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 405 W 5th North St, Summerville, South Carolina |
Authorized Official Name and Position | Kathryn Stroud Bullwinkel (OWNER) |
Authorized Official Contact | 8036064988 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kathryn Bullwinkel Dmd Ms Llc 405 W 5th North St Summerville SC 29483-6515 Ph: (803) 606-4988 | Kathryn Bullwinkel Dmd Ms Llc 405 W 5th North St Summerville SC 29483-6515 Ph: (803) 606-4988 |
NPI Number | 1275006272 |
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Provider Enumeration Date | 01/02/2019 |
Last Update Date | 01/02/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275006272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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