Most Relevant Information
Provider Data
| NPI Number: | 1003384132 |
| Provider Name: | FABIO RIZZANTE DDS, MSC, PHD, MBA |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 49 |
Most Important Dates
| Enumeration Date: | 11/07/2018 |
| Last Updated: | 02/04/2022 |
Provider Practice Location
29 BEE STREET
CHARLESTON
SC
294254905
Practice Location Phone/Fax
| Phone: | 7344892834 |
| Fax: |
Provider Mailing Location
173 ASHLEY AVE
DEPT OF ORAL REHABILITATION
CHARLESTON
SC
294258908
Provider Mailing Phone/Fax
| Phone: | 7344892834 |
| Fax: |