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Organization

CHARLES E. WYONT, D.M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES E WYONT D.M.D. (PRESIDENT)
(803) 642-4564
Entity
Organization

Contact information

Practice address
3320 WHISKEY RD, AIKEN, SC 29803-9090
(803) 642-4564
Mailing address
3320 WHISKEY RD, AIKEN, SC 29803-9090
(803) 642-4564

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2059
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ZA9460
SC
Enumeration date
10/31/2007
Last updated
10/31/2007
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