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Organization

PALMETTO FAMILY AND COSMETIC DENTISTRY IV

Active
Parent organization
PALMETTO FAMILY AND COSMETIC DENTISTRY LLC
Other names
Sumter Dental Surgery Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
PALMETTO FAMILY AND COSMETIC DENTISTRY LLC
Authorized official
EVELYN HORNE (CEO)
(803) 877-6703
Entity
Organization

Contact information

Practice address
1210 WILSON HALL RD, SUMTER, SC 29150-1889
(803) 877-6703
Mailing address
1210 WILSON HALL RD, SUMTER, SC 29150-1889
(803) 877-6703

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
09/12/2023
Last updated
09/28/2023
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