Organization
BRICKYARD DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DAVID BARNO D.M.D (OWNER)
(803) 736-1024
Entity
Organization
Contact information
Practice address
122 N BRICKYARD RD, COLUMBIA, SC 29223-6902
(803) 763-1024
(803) 699-3284
Mailing address
122 N BRICKYARD RD, COLUMBIA, SC 29223-6902
(803) 763-1024
(803) 699-3284
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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