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Organization
CHARLES E. WYONT, D.M.D., P.A.
Active
Organization
CHARLES E. WYONT, D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES E WYONT D.M.D. (PRESIDENT)
(803) 642-4564
Entity
Organization
Contact information
Practice address
3320 WHISKEY RD, AIKEN, SC 29803-9090
(803) 642-4564
Mailing address
3320 WHISKEY RD, AIKEN, SC 29803-9090
(803) 642-4564
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2059
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9460
—
SC
Enumeration date
10/31/2007
Last updated
10/31/2007
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