Organization
MIDLANDS DENTAL GROUP, P.L.
Active
Other names
Drs. Ellis Green and Green
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICTORIA A GUNTER (PRACTICE MANAGER)
(803) 788-9593
Entity
Organization
Contact information
Practice address
8905 TWO NOTCH RD, COLUMBIA, SC 29223-6367
(803) 788-9593
(803) 788-3123
Mailing address
8905 TWO NOTCH RD, COLUMBIA, SC 29223-6367
(803) 788-9593
(803) 788-3123
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/29/2006
Last updated
01/02/2015
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