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Organization

PALMETTO ADVANCED DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALBERT PRIMAVERA DMD (OWNER)
(239) 273-3981
Entity
Organization

Contact information

Practice address
2021 BRIDGEMILL DR STE 100, INDIAN LAND, SC 29707-9211
(803) 848-7100
Mailing address
1061 ANSLEY PARK DR, INDIAN LAND, SC 29707-7885

Taxonomy

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

Other

Enumeration date
06/10/2020
Last updated
06/10/2020
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