Organization
WADE FAMILY DENTISTRY LLC
Active
Other names
Moore Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MASON DOUGLAS WADE DMD (PRESIDENT)
(843) 795-4255
Entity
Organization
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
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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