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Individual

DR. TODD BRIAN ELLIOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
111 PROFESSIONAL AVE, WEST COLUMBIA, SC 29169-4711
(803) 796-0666
(803) 796-8753
Mailing address
111 PROFESSIONAL AVE, WEST COLUMBIA, SC 29169-4711
(803) 796-0666
(803) 796-8753

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3463
SC

Other

Enumeration date
02/04/2013
Last updated
02/04/2013
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