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Individual

DR. JAYANT MARYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1033 ROBERTS BRANCH PKWY STE 103, COLUMBIA, SC 29203-9148
(803) 339-8542
Mailing address
1600 MARINA RD UNIT 401D, IRMO, SC 29063-6902
(618) 801-7554

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10032
SC

Other

Enumeration date
10/06/2021
Last updated
10/06/2021
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