Individual
AMY KALYN STAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
113 WAPPOO CREEK DR STE 5, CHARLESTON, SC 29412-2136
(843) 762-1234
Mailing address
1952 ZONNY MOSS DR, JOHNS ISLAND, SC 29455-8331
(832) 656-9887
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
12597
SC
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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