WALLY T. AUSTELLE

CHARLESTON, SC
NPI1124302773
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: SC  2473)
Enumeration Date2011-09-30
Last Update Date2011-09-30
Business Address
-- WALLY T. AUSTELLE DMD
839 WAPPOO RD
CHARLESTON, SC 29407
Phone number: 843-556-4746
Mailing Address
-- WALLY T. AUSTELLE DMD
839 WAPPOO RD
CHARLESTON, SC 29407
Phone number: 843-556-4746