| Wrmdsv Iii | |
|
320 Broad St # 210 Charleston SC 29401-1648 | |
| (843) 216-3484 | |
| Not Available |
| Full Name | Wrmdsv Iii |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 320 Broad St # 210, Charleston, South Carolina |
| Authorized Official Name and Position | Michael R Defee (DENTIST) |
| Authorized Official Contact | 8432163484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wrmdsv Iii 320 Broad St # 210 Charleston SC 29401-1648 Ph: (843) 216-3484 | Wrmdsv Iii 320 Broad St # 210 Charleston SC 29401-1648 Ph: (843) 216-3484 |
| NPI Number | 1720711641 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 07/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720711641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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