Organization
MCKENZIE RAYMOND WOODARD, DDS LLC
Active
Other names
Wentworth Street Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGARET MCKENZIE RAYMOND WOODARD DDS (MANAGER)
(804) 387-7108
Entity
Organization
Contact information
Practice address
159 WENTWORTH ST, CHARLESTON, SC 29401-1731
(843) 577-2898
Mailing address
500 BUCKSLEY LN UNIT 207, DANIEL ISLAND, SC 29492-8182
(804) 387-7108
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8200
SC
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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