Organization
MJBMFD LLC
Active
Parent organization
MJBMFD LLC
Other names
Midlands Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
MJBMFD LLC
Authorized official
DR. MARK JUDSON BURNS DDS (AGENT)
(803) 873-0272
Entity
Organization
Contact information
Practice address
2844 SUNSET BLVD, WEST COLUMBIA, SC 29169-3420
(803) 731-0803
(803) 227-2844
Mailing address
2844 SUNSET BLVD, WEST COLUMBIA, SC 29169-3420
(803) 731-0803
(803) 227-2844
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8161
SC
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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