Individual
MASON WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1626 HARBOR VIEW RD, CHARLESTON, SC 29412-3201
(843) 795-4255
Mailing address
1626 HARBOR VIEW RD, CHARLESTON, SC 29412-3201
(843) 795-4255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8777
SC
Other
Enumeration date
09/01/2016
Last updated
01/23/2024
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