Organization
SPRING VALLEY DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON FITTS JOHNSON DMD (CO-PRESIDENT)
(803) 788-2560
Entity
Organization
Contact information
Practice address
9165 TWO NOTCH RD, COLUMBIA, SC 29223-5832
(803) 788-2560
(803) 788-1363
Mailing address
9165 TWO NOTCH RD, COLUMBIA, SC 29223-5832
(803) 788-2560
(803) 788-1363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC4008
SC
Other
Enumeration date
06/25/2007
Last updated
08/22/2020
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