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Organization
PALMETTO FAMILY AND COSMETIC DENTISTRY III
Active
Organization
PALMETTO FAMILY AND COSMETIC DENTISTRY III
Active
Other names
Palmetto Family and Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM THOMAS NOONAN (OWNER)
(803) 469-3555
Entity
Organization
Contact information
Practice address
1211 GREENLAWN DR, COLUMBIA, SC 29209-2631
(803) 783-1198
Mailing address
2590 TAHOE DR, SUMTER, SC 29150-1860
(803) 469-3555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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