Individual
DR. VALERIE L YANISZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
6237 CAROLINA COMMONS DR STE 330, INDIAN LAND, SC 29707-6014
(803) 547-9786
(803) 547-6777
Mailing address
855 HARVEST POINTE DR, FORT MILL, SC 29708-7707
(803) 984-0682
(803) 547-6777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3983
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3983
DENTAL LICENSE
SC
05
—
ZX3983
—
SC
Enumeration date
07/20/2006
Last updated
12/19/2024
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