Individual
DR. DOMINIKA SARA WISNIEWSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
194 ROBERT SMALLS PKWY, BEAUFORT, SC 29906-3202
(843) 473-3148
Mailing address
128 HADDINGTON LN, GREENVILLE, SC 29609-2328
(864) 551-5745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9897
SC
Other
Enumeration date
05/27/2021
Last updated
06/06/2022
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