Organization
GARLITZ COSMETIC & FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE GARLITZ DDS (OWNER/DENTIST)
(803) 736-8606
Entity
Organization
Contact information
Practice address
5 LAKE CAROLINA WAY, SUITE 210, COLUMBIA, SC 29229-7561
(803) 736-8606
(803) 736-8696
Mailing address
5 LAKE CAROLINA WAY, SUITE 210, COLUMBIA, SC 29229-7561
(803) 736-8606
(803) 736-8696
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4422
SC
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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