Amanda Komisarow Dmd LLC
NPI #1215600242 in Mount Pleasant, South Carolina
Provider Information
- NPI Number
- 1215600242
- Entity Type
- Organization
- Organization Name
- Amanda Komisarow Dmd LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 27, 2021
- Last Updated
- Jul 27, 2021
Practice Location
- Address
- 924 TALL PINE RD
- City
- Mount Pleasant
- State
- South Carolina
- ZIP Code
- 29464-2990
- Phone
- (404) 626-1969
Authorized Official
- Name
- DR. AMANDA KOMISAROW, DMD
- Title
- MEMBER
- Phone
- (404) 626-1969
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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