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Individual

DR. WILLIAM ANTON WANNINGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2636 HIGHWAY 17A S STE A, SUMMERVILLE, SC 29483-9114
(843) 242-0645
Mailing address
1584 THIN PINE DR, JOHNS ISLAND, SC 29455-8796
(205) 369-3424

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10460
SC

Other

Enumeration date
06/25/2018
Last updated
06/06/2024
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