Individual
DR. SID R RISMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3210 LANDMARK DR, SUITE D, NORTH CHARLESTON, SC 29418-8486
(843) 767-2600
(843) 552-4405
Mailing address
34 INTRA COASTAL CT, MOUNT PLEASANT, SC 29451
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3073
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
930734
—
SC
Enumeration date
10/23/2006
Last updated
07/08/2007
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