Organization
KATHRYN BULLWINKEL DMD MS LLC
Active
Other names
Summerville Pediatric Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN STROUD BULLWINKEL DMD (OWNER)
(803) 606-4988
Entity
Organization
Contact information
Practice address
405 W 5TH NORTH ST, SUMMERVILLE, SC 29483-6515
(803) 606-4988
Mailing address
405 W 5TH NORTH ST, SUMMERVILLE, SC 29483-6515
(803) 606-4988
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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