Individual
JIAJIA SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4500 8TH DIVISION RD., COLUMBIA, SC 29207-5720
(803) 751-3255
Mailing address
4615 FOREST DR APT 234, COLUMBIA, SC 29206-3172
(206) 773-5787
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14075147-9926
UT
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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