Individual
KATIELYN BUNTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1701 BEAUCASTLE RD, MT PLEASANT, SC 29464-3685
(843) 818-5437
Mailing address
1701 BEAUCASTLE RD STE A, MT PLEASANT, SC 29464-3685
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21757
MA
1223G0001X
General Practice Dentistry
Primary
3829
SC
Other
Enumeration date
03/16/2007
Last updated
03/10/2020
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