institution
Amanda Komisarow Dmd Llc
Dental Clinic/Center in Mount Pleasant, South Carolina
NPI 1215600242

Amanda Komisarow Dmd Llc is a Dental Clinic/Center based in Charleston, SC and is specialized in Dental. Amanda Komisarow Dmd Llc practices in Mount Pleasant, SC. The NPI Number for Amanda Komisarow Dmd Llc is 1215600242 and holds a License No. (South Carolina).

The current practice location address for Amanda Komisarow Dmd Llc is 924 Tall Pine Rd, Mount Pleasant, SC and can be reached out via phone at 404-626-1969. You can also correspond with Amanda Komisarow Dmd Llc through the mailing address at 5 EMILY DR, CHARLESTON, SC - 29407-6724 (mailing address contact number: ).

Location: 924 Tall Pine Rd, Mount Pleasant, SC, 29407-6724
institution
Provider Profile Details
NPI Number
1215600242
Provider Name
Amanda Komisarow Dmd Llc
Credential
Provider Entity Type
Organization
Address
924 Tall Pine Rd, Mount Pleasant, SC, 29407-6724
Phone Number
404-626-1969
Fax Number
Provider Enumeration Date
07/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
924 Tall Pine Rd
City
State
Zip
29464-2990
Phone Number
404-626-1969
Fax Number
person
Provider Business Mailing Address Details
Address
924 Tall Pine Rd
City
State
Zip
29464-2990
Phone Number
404-626-1969
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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