| Columbia Children's Dentistry, Pa | |
|
3731 Forest Dr Columbia SC 29204-4007 | |
| (803) 782-5492 | |
| Not Available |
| Full Name | Columbia Children's Dentistry, Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3731 Forest Dr, Columbia, South Carolina |
| Authorized Official Name and Position | Michael Dover (OFFICER) |
| Authorized Official Contact | 8035534560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Children's Dentistry, Pa 3731 Forest Dr Columbia SC 29204-4007 Ph: (803) 782-5492 | Columbia Children's Dentistry, Pa 3731 Forest Dr Columbia SC 29204-4007 Ph: (803) 782-5492 |
| NPI Number | 1932685872 |
|---|---|
| Provider Enumeration Date | 07/13/2018 |
| Last Update Date | 07/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932685872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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