Organization
SANDHILLS PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOHEE K PARK (OWNER)
(803) 788-9715
Entity
Organization
Contact information
Practice address
456 CLEMSON RD, COLUMBIA, SC 29229-7925
(803) 788-9715
(803) 788-9705
Mailing address
456 CLEMSON RD, COLUMBIA, SC 29229-7925
(803) 788-9715
(803) 788-9705
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3592
SC
Other
Enumeration date
05/09/2018
Last updated
03/27/2019
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