Organization
JENNIFER BERWICK PROFESSIONAL CORPORATION
Active
Other names
Charleston Family Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER BALLANTYNE BERWICK DDS (ORTHODONTIST)
(843) 571-5533
Entity
Organization
Contact information
Practice address
712 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7141
(843) 571-5533
(843) 571-5534
Mailing address
376 SUMTER ST APT A, CHARLESTON, SC 29403-4902
(843) 571-5533
(843) 571-5534
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4396
SC
Other
Enumeration date
07/31/2012
Last updated
09/29/2012
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