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Search › South Carolina › 122300000X

Wally Austelle, DMD

NPI 1124302773 · on the registry since 2011

Practice

Address
839 Wappoo Rd
Charleston, SC 29407
Phone
(843) 556-4746
Fax
(843) 556-5435
Organisation at this address
Dental Care Of Charlestown Pa
Peninsula Dentistry Wappoo Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-09-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina