Individual
DR. SIMRATA SANDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4600 DEVINE ST STE B, COLUMBIA, SC 29205-3617
(803) 432-2817
Mailing address
4600 DEVINE ST STE B, COLUMBIA, SC 29205-3617
(803) 432-2817
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10030
SC
1223G0001X
General Practice Dentistry
2019030662
MO
Other
Enumeration date
10/07/2019
Last updated
09/01/2021
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