Individual
DR. TELAH ALASIA-MARIE WINGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MBA
Contact information
Practice address
7457 PATTERSON RD STE 107, COLUMBIA, SC 29209-0710
(803) 807-2140
Mailing address
8201 SPRING FLOWER RD, COLUMBIA, SC 29223-5640
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10807
SC
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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