Organization
PALMETTO FAMILY DENTISTRY OF COLUMBIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA T. VU-HEATON DMD (DENTIST)
(803) 783-1198
Entity
Organization
Contact information
Practice address
1211 GREENLAWN DR, COLUMBIA, SC 29209-2631
(803) 783-1198
(803) 783-1892
Mailing address
PO BOX 9444, COLUMBIA, SC 29290-0444
(803) 783-1198
(803) 783-1892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3751
SC
Other
Enumeration date
10/17/2007
Last updated
08/26/2008
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