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Individual

SARAH AMELIA WYRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
4328 WADE HAMPTON BLVD, SUITE #F, TAYLORS, SC 29687-2252
(864) 244-1494
(864) 282-1955
Mailing address
110 VILLA RD, GREENVILLE, SC 29615-3010
(864) 282-1935
(864) 282-1955

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD. 8575 GD
SC
1223G0001X
General Practice Dentistry
DN 21336
FL

Other

Enumeration date
06/22/2015
Last updated
06/22/2015
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