Individual
BROOKE KING NEISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
674 BOULEVARD DE FRANCE, BEAUFORT, SC 29905
(843) 228-3500
Mailing address
1907 COLUMBIA ST APT 400, SAN DIEGO, CA 92101-2219
(803) 236-7418
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9893
SC
Other
Enumeration date
07/12/2021
Last updated
08/09/2024
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