Organization
PENINSULA DENTISTRY WAPPOO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WISNER DMD (OWNER/DENTIST)
(843) 460-5206
Entity
Organization
Contact information
Practice address
839 WAPPOO RD, CHARLESTON, SC 29407-5866
(843) 556-4746
Mailing address
839 WAPPOO RD, CHARLESTON, SC 29407-5866
(843) 556-4746
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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