Organization
7210 IRMO DENTAL, PC
Active
Other names
Bela Family Dentistry of Irmo
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW COOK DMD (CEO)
(803) 479-1795
Entity
Organization
Contact information
Practice address
7210 BROAD RIVER RD., STE N, IRMO, SC 29063
(803) 407-2220
(803) 407-2320
Mailing address
7210 BROAD RIVER RD., STE N, IRMO, SC 29063
(803) 407-2220
(803) 407-2320
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4708
SC
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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