Organization
IRMO KIDS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANTANA JONES (OWNER)
(803) 764-2013
Entity
Organization
Contact information
Practice address
1407 LAKE MURRAY BLVD, COLUMBIA, SC 29212-8628
(803) 764-2013
Mailing address
1407 LAKE MURRAY BLVD, COLUMBIA, SC 29212-8628
(803) 764-2013
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2019
Last updated
11/12/2025
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