Organization
PALMETTO DENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AKIAYA TANENKA HARRIS (OFFICE MANAGER)
(803) 254-1911
Entity
Organization
Contact information
Practice address
1330 GREGG ST, COLUMBIA, SC 29201-3526
(803) 254-1911
Mailing address
1330 GREGG ST, COLUMBIA, SC 29201-3526
(803) 254-1911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3578
SC
1223G0001X
General Practice Dentistry
3755
SC
Other
Enumeration date
04/26/2006
Last updated
08/12/2010
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