Organization
32DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIVANI A PATEL DMD (OWNER)
(803) 736-5300
Entity
Organization
Contact information
Practice address
121 WILDEWOOD PARK DR, COLUMBIA, SC 29223-4300
(803) 736-5300
(803) 736-1422
Mailing address
121 WILDEWOOD PARK DR, COLUMBIA, SC 29223-4300
(803) 736-5300
(803) 736-1422
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7066
SC
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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