Organization
SKYLA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA KING RUCKER DDS (PRESIDENT)
(803) 832-4446
Entity
Organization
Contact information
Practice address
775 ADDISON DR STE 111, ROCK HILL, SC 29730-7061
(803) 832-4446
Mailing address
586 FOSTER HEIGHTS DR, LANCASTER, SC 29720-9218
(803) 832-4446
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3431
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z34311
—
SC
Enumeration date
11/29/2017
Last updated
03/17/2018
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