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Organization
AQUA DENTAL CORP
Active
Organization
AQUA DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA NUNEZ (OFFICER)
(864) 292-6050
Entity
Organization
Contact information
Practice address
2801 WADE HAMPTON BLVD STE 118, TAYLORS, SC 29687-2758
(864) 292-6050
Mailing address
2801 WADE HAMPTON BLVD STE 118, TAYLORS, SC 29687-2758
(864) 292-6050
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2017
Last updated
07/21/2022
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