Individual
DR. ANNY VANDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3026 FARROW RD, COLUMBIA, SC 29203-7002
(803) 255-0200
(803) 255-0222
Mailing address
3026 FARROW RD, COLUMBIA, SC 29203-7002
(803) 255-0200
(803) 255-0222
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4170
SC
Other
Enumeration date
01/03/2007
Last updated
09/29/2009
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