# MARSHLANDS FAMILY DENTISTRY,PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Edward M Wise DMD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568654275
- **Authorized official:** VIRGIE D GURGANIOUS (OFFICE MGR)
- **Authorized official phone:** (843) 521-4344

## Contact information

- **Practice address:** 1090 RIBAUT RD, BEAUFORT, SC 29902-5437
- **Practice address phone:** (843) 521-4344
- **Practice address fax:** (843) 521-1804
- **Mailing address:** 1090 RIBAUT RD, BEAUFORT, SC 29902-5437
- **Mailing address phone:** (843) 521-4344
- **Mailing address fax:** (843) 521-1804

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | Z1777 | SC | Yes |

## Other

- **Enumeration date:** 08/16/2007
- **Last updated:** 10/27/2010