Organization
CAROLINA SMILE STUDIO FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHRUTI PATEL DDS (OWNER)
(803) 393-4600
Entity
Organization
Contact information
Practice address
101 WILDEWOOD PARK DR, STE A, COLUMBIA, SC 29223-4319
(803) 393-4600
(803) 393-4464
Mailing address
101 WILDEWOOD PARK DR, STE A, COLUMBIA, SC 29223-4319
(803) 393-4600
(803) 393-4464
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8065
SC
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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