Individual
DR. JEFFREY SCOTT WONDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4376 BLUFFTON PARKWAY, SUITE 103, BLUFFTON, SC 29910
(843) 706-9600
Mailing address
53 CRESCENT PLANTATION, BLUFFTON, SC 29910-4800
(610) 781-1291
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8178
SC
1223G0001X
General Practice Dentistry
DS-026868-L
PA
Other
Enumeration date
01/03/2007
Last updated
09/08/2014
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