Individual
DR. FREDERICK WAYDE DOMINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
123 AMICKS FERRY ROAD, DR FREDERICK WAYDE DOMINICK, CHAPIN, SC 29036
(803) 345-3599
Mailing address
123 AMICKS FERRY ROAD, CHAPIN, SC 29036
(803) 345-3599
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2637
SC
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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