Organization
PITNER ORTHODONTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE PITNER D.D.S. (OWNER/ORTHODONTIST)
(803) 781-5225
Entity
Organization
Contact information
Practice address
5953 WESCOTT RD, COLUMBIA, SC 29212-2717
(803) 781-5225
(803) 470-3697
Mailing address
5953 WESCOTT RD, COLUMBIA, SC 29212-2717
(803) 781-5225
(803) 470-3697
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3905
SC
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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