Marshlands II Family Dentistry, PA
NPI #1780184036 in Beaufort, South Carolina
Provider Information
- NPI Number
- 1780184036
- Entity Type
- Organization
- Organization Name
- Marshlands II Family Dentistry, PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 13, 2018
- Last Updated
- Feb 13, 2018
Practice Location
- Address
- 1090 RIBAUT RD
- City
- Beaufort
- State
- South Carolina
- ZIP Code
- 29902-5437
- Phone
- (843) 521-4344
Authorized Official
- Name
- DR. JOHN DAVID SOUTHERLAND WISE, DMD
- Title
- GENERAL DENTIST
- Phone
- (843) 521-4344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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