Organization
TWO NOTCH ROAD DENTAL HEALTH CENTER
Active
Other names
Captial City Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNE REAMS (VP OF HR & COMPLIANCE)
(720) 603-4779
Entity
Organization
Contact information
Practice address
3014 TWO NOTCH RD, COLUMBIA, SC 29204-2822
(803) 691-9930
Mailing address
3014 TWO NOTCH RD, COLUMBIA, SC 29204-2822
(803) 691-9930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2464
SC
Other
Enumeration date
08/11/2014
Last updated
05/25/2021
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