Individual
WOLF D BUESCHGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2060 CHARLIE HALL BLVD, SUITE 5A, CHARLESTON, SC 29414-5830
(843) 763-5665
(843) 766-7376
Mailing address
2060 CHARLIE HALL BLVD, SUITE 5A, CHARLESTON, SC 29414-5830
(843) 763-5665
(843) 766-7376
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3961
SC
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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