Palmetto Advanced Dentistry | |
2021 Bridgemill Dr Ste 100 Indian Land SC 29707-9211 | |
(803) 848-7100 | |
Not Available |
Full Name | Palmetto Advanced Dentistry |
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Speciality | Clinic/center - Dental |
Location | 2021 Bridgemill Dr Ste 100, Indian Land, South Carolina |
Authorized Official Name and Position | Albert Primavera (OWNER) |
Authorized Official Contact | 2392733981 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Palmetto Advanced Dentistry 1061 Ansley Park Dr Indian Land SC 29707-7885 Ph: () - | Palmetto Advanced Dentistry 2021 Bridgemill Dr Ste 100 Indian Land SC 29707-9211 Ph: (803) 848-7100 |
NPI Number | 1851916332 |
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Provider Enumeration Date | 06/10/2020 |
Last Update Date | 06/10/2020 |
Identifier | Type | State | Issuer |
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1851916332 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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