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Organization

PALMETTO FAMILY & COSMETIC DENTISTRY

Active
Parent organization
PALMETTO FAMILY & COSMETIC DENTISTRY
Organization subpart
Yes

Provider details

NPI number
Legal business name
PALMETTO FAMILY & COSMETIC DENTISTRY
Authorized official
WILLIAM THOMAS NOONAN DMD (DMD)
(803) 877-6703
Entity
Organization

Contact information

Practice address
656 BULTMAN DR, SUMTER, SC 29150-2550
(803) 778-2337
Mailing address
2590 TAHOE DR, SUMTER, SC 29150-1860
(803) 877-6703
(803) 469-3515

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
05/05/2022
Last updated
05/05/2022
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