Individual
VLADISLAV ALEKSANDROVICH REZNICHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1505 RED BANK RD, GOOSE CREEK, SC 29445-4516
(843) 824-8742
Mailing address
2105 CONWAY CIR, SUMMERVILLE, SC 29486-8110
(864) 541-9705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.10221
SC
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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