| NPI | 1174396105 |
|---|---|
| Doing Business As | MCKENZIE AND WILSON PERIODONTICS AND IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JAMES P WILSON Periodontist/Ownwer 843-323-6843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-01 |