| Mark Waninger Dentistry | |
|
1 Market Beaufort SC 29906-9107 | |
| (843) 397-1007 | |
| Not Available |
| Full Name | Mark Waninger Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1 Market, Beaufort, South Carolina |
| Authorized Official Name and Position | Mark William Waninger (DENTIST) |
| Authorized Official Contact | 8432407788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Waninger Dentistry 1 Market Beaufort SC 29906-9107 | Mark Waninger Dentistry 1 Market Beaufort SC 29906-9107 Ph: (843) 397-1007 |
| NPI Number | 1699390922 |
|---|---|
| Provider Enumeration Date | 06/12/2020 |
| Last Update Date | 08/18/2020 |
| Certification Date | 08/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699390922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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