Organization
DENTAL CARE OF CHARLESTOWN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALLY THOMPSON AUSTELLA DMD (OWNER DENTIST)
(843) 556-4746
Entity
Organization
Contact information
Practice address
839 WAPPOO RD, CHARLESTON, SC 29407-5866
(843) 556-4746
(843) 556-5435
Mailing address
839 WAPPOO RD, CHARLESTON, SC 29407-5866
(843) 556-4746
(843) 556-5435
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2473
SC
Other
Enumeration date
01/03/2006
Last updated
08/22/2020
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