Individual
HEIDI PANTAZIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
4344 BROAD RIVER RD, COLUMBIA, SC 29210-4010
(803) 896-1521
Mailing address
1227 BROOKSTONE WAY, AUGUSTA, GA 30909-5658
(716) 870-7410
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8883
SC
122300000X
Dentist
DN015311
GA
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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