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Organization
VISTA SMILES OF COLUMBIA LLC
Active
Organization
VISTA SMILES OF COLUMBIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY JOSEPH WYCH DDS (OWNER)
(803) 779-9666
Entity
Organization
Contact information
Practice address
515 RICHLAND ST, COLUMBIA, SC 29201-2320
(803) 779-9666
(803) 779-4622
Mailing address
515 RICHLAND ST, COLUMBIA, SC 29201-2320
(803) 779-9666
(803) 779-4622
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2905
SC
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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