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Organization
CHILDREN AND ADULT DENTAL LLC
Active
Organization
CHILDREN AND ADULT DENTAL LLC
Active
Other names
Broad River Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
TONIA PATTERSON (PRACTICE ADMINISTRATOR)
(803) 600-7211
Entity
Organization
Contact information
Practice address
7210K BROAD RIVER RD, IRMO, SC 29063-7973
(803) 407-2220
Mailing address
7210K BROAD RIVER RD, IRMO, SC 29063-7973
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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