Individual
DR. MARK DOMONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4323 CHAMPION HILL ST, COLUMBIA, SC 29207-6022
(803) 751-1624
Mailing address
1401 ARDENNES DR, ELGIN, SC 29045-7913
(716) 866-7356
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11186
SC
Other
Enumeration date
07/07/2025
Last updated
07/07/2025
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