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Organization
WADE FAMILY DENTISTRY LLC
Active
Organization
WADE FAMILY DENTISTRY LLC
Active
Other names
Moore Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MASON DOUGLAS WADE DMD (PRESIDENT)
(843) 795-4255
Entity
Organization
Contact information
Practice address
1626 HARBOR VIEW RD, CHARLESTON, SC 29412-3201
(843) 795-4255
Mailing address
1626 HARBOR VIEW RD, CHARLESTON, SC 29412-3201
(843) 795-4255
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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