Individual
DR. DANIELLE CHRISTINE DETWILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
26 BEE ST, CHARLESTON, SC 29425-8910
(843) 792-2188
Mailing address
1160 JULIAN CLARK RD, CHARLESTON, SC 29412-5253
(716) 289-4550
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9934
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2021
Last updated
06/03/2022
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