Organization
COLUMBIA SC EMERGENCY DENTAL CARE USA LLC
Active
Other names
Emergency Dental Care USA
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA SHIRCK (CHIEF PRACTICE ADMINISTRATOR)
(402) 658-4687
Entity
Organization
Contact information
Practice address
105 N 12TH ST, WEST COLUMBIA, SC 29169-6412
(803) 764-3320
Mailing address
4267 S 144TH ST STE 7, OMAHA, NE 68137-1053
(402) 393-2726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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