DR. Frederick Wayde Dominick, DMD

NPI #1154400224 in Chapin, South Carolina

Provider Information

NPI Number: 1154400224
Entity Type: Individual
Name: DR. Frederick Wayde Dominick, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Nov 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 123 AMICKS FERRY ROAD
Address 2: DR FREDERICK WAYDE DOMINICK
City: Chapin
State: South Carolina
ZIP Code: 29036
Phone: (803) 345-3599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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