Individual
DR. JENNIFER BALLANTYNE BERWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
712 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7141
(843) 571-5533
(843) 571-5534
Mailing address
376 SUMTER ST APT A, CHARLESTON, SC 29403-4902
(843) 571-5533
(843) 571-5534
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4396
SC
Other
Enumeration date
07/17/2010
Last updated
09/29/2012
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