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Organization
CRYSTAL SMILES PC
Active
Organization
CRYSTAL SMILES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRYSTAL L. JOHNSON DDS (DOCTOR/OWNER)
(803) 256-2333
Entity
Organization
Contact information
Practice address
1412 BARNWELL ST, COLUMBIA, SC 29201-3512
(803) 256-2333
(803) 256-1580
Mailing address
1412 BARNWELL ST, COLUMBIA, SC 29201-3512
(803) 256-2333
(803) 256-1580
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9587
—
SC
Enumeration date
10/23/2007
Last updated
07/21/2022
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