Individual
BENJAMIN ROSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9360 TWO NOTCH RD, COLUMBIA, SC 29223-6416
(803) 788-0360
Mailing address
9360 TWO NOTCH RD, COLUMBIA, SC 29223-6416
(803) 788-0360
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9392
SC
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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