Organization
PALMETTO FAMILY AND COSMETIC DENTISTRY III
Active
Other names
Palmetto Family and Cosmetic Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM THOMAS NOONAN (OWNER)
(803) 469-3555
Entity
Organization
Contact information
Practice address
1211 GREENLAWN DR, COLUMBIA, SC 29209-2631
(803) 783-1198
Mailing address
2590 TAHOE DR, SUMTER, SC 29150-1860
(803) 469-3555
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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