# 7210 IRMO DENTAL, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bela Family Dentistry of Irmo
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447619721
- **Authorized official:** MATTHEW COOK DMD (CEO)
- **Authorized official phone:** (803) 479-1795

## Contact information

- **Practice address:** 7210 BROAD RIVER RD., STE N, IRMO, SC 29063
- **Practice address phone:** (803) 407-2220
- **Practice address fax:** (803) 407-2320
- **Mailing address:** 7210 BROAD RIVER RD., STE N, IRMO, SC 29063
- **Mailing address phone:** (803) 407-2220
- **Mailing address fax:** (803) 407-2320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4708 | SC | Yes |

## Other

- **Enumeration date:** 02/16/2016
- **Last updated:** 02/16/2016