Individual
DR. CARLY VAIL COTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7701 TRENHOLM ROAD EXT, COLUMBIA, SC 29223-1725
(803) 736-6000
(803) 736-6084
Mailing address
300 GERVAIS ST APT 201, COLUMBIA, SC 29201-3097
(251) 550-7060
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
10474
SC
1223P0221X
Pediatric Dentistry
10649PD
SC
1223P0221X
Pediatric Dentistry
DRP2369
FL
Other
Enumeration date
08/13/2021
Last updated
08/13/2024
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