Organization
BREATHE COLUMBIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNA S DOVER D.M.D. (SOLE MEMBER)
(803) 782-5492
Entity
Organization
Contact information
Practice address
3731 FOREST DR STE C, COLUMBIA, SC 29204-4007
(803) 782-5492
Mailing address
3731 FOREST DR STE C, COLUMBIA, SC 29204-4007
(803) 782-5492
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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