Organization
MIDLANDS TECHNICAL COLLEGE DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA HANKS D.D.S. (DIRECTOR)
(803) 822-3451
Entity
Organization
Contact information
Practice address
1260 LEXINGTON DR, WEST COLUMBIA, SC 29170-2176
(803) 822-3450
(803) 822-3079
Mailing address
1260 LEXINGTON DR, WEST COLUMBIA, SC 29170-2176
(803) 822-3450
(803) 822-3079
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2579
SC
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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