Amanda Komisarow Dmd Llc | |
924 Tall Pine Rd Mount Pleasant SC 29464-2990 | |
(404) 626-1969 | |
Not Available |
Full Name | Amanda Komisarow Dmd Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 924 Tall Pine Rd, Mount Pleasant, South Carolina |
Authorized Official Name and Position | Amanda Komisarow (MEMBER) |
Authorized Official Contact | 4046261969 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Amanda Komisarow Dmd Llc 5 Emily Dr Charleston SC 29407-6724 Ph: () - | Amanda Komisarow Dmd Llc 924 Tall Pine Rd Mount Pleasant SC 29464-2990 Ph: (404) 626-1969 |
NPI Number | 1215600242 |
---|---|
Provider Enumeration Date | 07/27/2021 |
Last Update Date | 07/27/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215600242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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