Signature Smiles, Llc | |
1730 Henderson St Ste A Columbia SC 29201-2648 | |
(803) 252-5068 | |
Not Available |
Full Name | Signature Smiles, Llc |
---|---|
Speciality | Dentist |
Location | 1730 Henderson St Ste A, Columbia, South Carolina |
Authorized Official Name and Position | Blake Michael Julian (PRACTICE OWNER) |
Authorized Official Contact | 8642716213 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Signature Smiles, Llc 1730 Henderson St Ste A Columbia SC 29201-2648 Ph: (803) 252-5068 | Signature Smiles, Llc 1730 Henderson St Ste A Columbia SC 29201-2648 Ph: (803) 252-5068 |
NPI Number | 1104304393 |
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Provider Enumeration Date | 07/31/2018 |
Last Update Date | 07/31/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104304393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 6903 (South Carolina) | Primary |
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