Organization
NORTHEAST FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOLANDA REID HUNTER DMD RN (OWNER)
(803) 865-2602
Entity
Organization
Contact information
Practice address
7711 TRENHOLM ROAD EXTENSION, COLUMBIA, SC 29223-1725
(803) 865-2602
(803) 865-1814
Mailing address
7711 TRENHOLM ROAD EXTENSION, COLUMBIA, SC 29223-1725
(803) 865-2602
(803) 865-1814
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3015
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA 9746
—
SC
Enumeration date
04/24/2007
Last updated
09/12/2007
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