Organization
PALMETTO ENDODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD R BARRETT DMD (PRESIDENT)
(803) 217-0066
Entity
Organization
Contact information
Practice address
140 SUMMIT CENTRE DR, COLUMBIA, SC 29229
(803) 217-0066
(803) 217-0078
Mailing address
140 SUMMIT CENTRE DR, COLUMBIA, SC 29229
(803) 217-0066
(803) 217-0078
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3675
SC
Other
Enumeration date
10/22/2009
Last updated
01/19/2011
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