Organization
TRI-COUNTY DENTAL ARTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW EMIL BOLLER DMD (DENTIST)
(973) 349-6271
Entity
Organization
Contact information
Practice address
109 WAPPOO CREEK DR STE 4A, CHARLESTON, SC 29412-2165
(843) 795-0231
Mailing address
109 WAPPOO CREEK DR STE 4A, CHARLESTON, SC 29412-2165
(843) 795-0231
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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