Individual
DR. JENNIFER BOYLAND WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2090 CHARLIE HALL BLVD STE 100, CHARLESTON, SC 29414-8200
(437) 667-1318
Mailing address
6 DOUGHTY ST, APT. A, CHARLESTON, SC 29403-5858
(540) 230-1237
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8333
SC
Other
Enumeration date
03/28/2017
Last updated
09/23/2021
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