Organization
MATHIS FERRY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY HAEFNER (OWNER)
(843) 513-5248
Entity
Organization
Contact information
Practice address
1571 MATHIS FERRY RD, MT PLEASANT, SC 29464
(843) 884-1215
Mailing address
1571 MATHIS FERRY RD, MT PLEASANT, SC 29464-9703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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