Organization
COLUMBIA ORAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH RYNES PH. D. (PRESIDENT)
(803) 212-1773
Entity
Organization
Contact information
Practice address
3425 MAIN ST, COLUMBIA, SC 29203-6434
(803) 799-9457
(803) 799-9458
Mailing address
PO BOX 3206, COLUMBIA, SC 29230-3206
(803) 799-9457
(803) 799-9458
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9770
—
SC
Enumeration date
05/17/2007
Last updated
08/22/2020
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