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Organization
SOUTHERN SMILES DENTAL STUDIO COLUMBIA LLC
Active
Organization
SOUTHERN SMILES DENTAL STUDIO COLUMBIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA DENISE PITTMAN (OFFICE)
(864) 576-7464
Entity
Organization
Contact information
Practice address
160 SUMMIT CENTRE DR, COLUMBIA, SC 29229-7612
(803) 699-7224
(803) 736-0985
Mailing address
3106 REIDVILLE RD, SPARTANBURG, SC 29301-5644
(803) 699-7224
(803) 736-0985
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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