Individual
CHRISTOPHER JAMES VON BARGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4831 MIXSON AVE STE 104, NORTH CHARLESTON, SC 29405-4567
(843) 874-3136
Mailing address
4831 MIXSON AVE STE 104, CHARLESTON, SC 29405-4567
(843) 874-3136
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
10262
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9411
SC
Other
Enumeration date
12/14/2021
Last updated
12/30/2024
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