Organization
PALMETTO MOBILE DENTAL CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK NAPPER CEO (AUTHORIZED OFFICIAL)
(615) 225-0945
Entity
Organization
Contact information
Practice address
1703 LAUREL ST, COLUMBIA, SC 29201-2660
(615) 225-0945
(615) 225-8915
Mailing address
PO BOX 332640, MURFREESBORO, TN 37133-2640
(615) 225-0945
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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