Individual
DR. MARK WILLIAM WANINGER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 MARKET, BEAUFORT, SC 29906-9107
(843) 240-7788
Mailing address
1 MARKET, BEAUFORT, SC 29906-9107
(843) 379-1007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8564
SC
1223G0001X
General Practice Dentistry
Primary
8564
SC
Other
Enumeration date
06/18/2015
Last updated
08/22/2020
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