| Happy Teeth, Llc | |
|
2700 Broad River Rd Columbia SC 29210-6055 | |
| (803) 750-2131 | |
| (636) 794-7575 |
| Full Name | Happy Teeth, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2700 Broad River Rd, Columbia, South Carolina |
| Authorized Official Name and Position | Karen L Watson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8037502131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Happy Teeth, Llc 2700 Broad River Rd Columbia SC 29210-6055 Ph: (803) 750-2131 | Happy Teeth, Llc 2700 Broad River Rd Columbia SC 29210-6055 Ph: (803) 750-2131 |
| NPI Number | 1730355280 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 06/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730355280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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