Organization
COLUMBIA CHILDREN'S DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DOVER (OFFICER)
(803) 553-4560
Entity
Organization
Contact information
Practice address
3731 FOREST DR, COLUMBIA, SC 29204-4007
(803) 782-5492
Mailing address
3731 FOREST DR, COLUMBIA, SC 29204-4007
(803) 782-5492
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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