Organization
DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.
Other names
West Columbia Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF SOUTH CAROLINA, P.C.
Authorized official
KIM WILSON (CRED SUPERVISOR)
(217) 540-5170
Entity
Organization
Contact information
Practice address
3308 PLATT SPRINGS RD, WEST COLUMBIA, SC 29170-2204
(803) 796-7934
(803) 796-1357
Mailing address
3308 PLATT SPRINGS RD, WEST COLUMBIA, SC 29170-2204
(803) 796-7934
(803) 796-1357
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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