Individual
DR. DANIELLE LEIGH VINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
51 NASSAU ST, CHARLESTON, SC 29403-5513
(843) 722-4112
Mailing address
10 WESTEDGE ST UNIT 308, CHARLESTON, SC 29403-6909
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DGD.10790
SC
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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