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Individual

DR. FRED J WELCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
7535 NORTHSIDE DR, N CHARLESTON, SC 29420-4211
(843) 797-3355
(843) 797-3641
Mailing address
7535 NORTHSIDE DR, N CHARLESTON, SC 29420-4211
(843) 797-3355
(843) 797-3641

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC1906
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
805444
UNITED CONCORDIA
Enumeration date
08/25/2006
Last updated
07/08/2007
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