| Kids First Dental, Llc | |
|
2700 Broad River Rd Suite L Columbia SC 29210-6055 | |
| (803) 772-4949 | |
| (803) 772-4950 |
| Full Name | Kids First Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 2700 Broad River Rd, Columbia, South Carolina |
| Authorized Official Name and Position | Robert Haber Ellis (PRESIDENT) |
| Authorized Official Contact | 8034135100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids First Dental, Llc 2700 Broad River Rd Suite L Columbia SC 29210-6055 Ph: (803) 772-4949 | Kids First Dental, Llc 2700 Broad River Rd Suite L Columbia SC 29210-6055 Ph: (803) 772-4949 |
| NPI Number | 1750520623 |
|---|---|
| Provider Enumeration Date | 02/16/2009 |
| Last Update Date | 03/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750520623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3691 (South Carolina) | Primary |
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