Individual
DR. BRUCE KEVIN WYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
134 D LADYS ISLAND DRIVE, BEAUFORT, SC 29907
(843) 838-1431
(843) 522-9931
Mailing address
134 D LADYS ISLAND DRIVE, BEAUFORT, SC 29907
(843) 838-1431
(843) 522-9931
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2607
SC
Other
Enumeration date
07/17/2006
Last updated
09/05/2013
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