Organization
COLUMBIA DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMAR BEY EL (MANAGER)
(803) 798-6333
Entity
Organization
Contact information
Practice address
421 BUSH RIVER RD #5, COLUMBIA, SC 29210
(803) 445-3906
Mailing address
1727 BROAD RIVER ROAD, COLUMBIA, SC 29210-7332
(803) 798-6333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-03757
SC
Other
Enumeration date
03/15/2012
Last updated
10/11/2013
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