Organization
MARK F. YAMPOLSKY, DDS, MS DBA CAROLINA PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK F YAMPOLSKY (OWNER)
(843) 556-8778
Entity
Organization
Contact information
Practice address
1064 GARDNER RD, SUITE #110, CHARLESTON, SC 29407-5768
(843) 556-8778
(843) 556-7003
Mailing address
1064 GARDNER RD, SUITE #110, CHARLESTON, SC 29407-5768
(843) 556-8778
(843) 556-7003
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2962
SC
1223P0300X
Periodontics
6934
SC
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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