Organization
AESTHETIC DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNETTE RILEY D.M.D. (DENTIST)
(803) 256-2403
Entity
Organization
Contact information
Practice address
3224 FARROW RD, COLUMBIA, SC 29203-7006
(803) 256-2403
Mailing address
3224 FARROW RD, COLUMBIA, SC 29203-7006
(803) 256-2403
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3757
SC
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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