| Vista Smiles Of Columbia Llc | |
|
515 Richland St Columbia SC 29201-2320 | |
| (803) 779-9666 | |
| (803) 779-4622 |
| Full Name | Vista Smiles Of Columbia Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 515 Richland St, Columbia, South Carolina |
| Authorized Official Name and Position | Gregory Joseph Wych (OWNER) |
| Authorized Official Contact | 8037799666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Smiles Of Columbia Llc 515 Richland St Columbia SC 29201-2320 Ph: (803) 779-9666 | Vista Smiles Of Columbia Llc 515 Richland St Columbia SC 29201-2320 Ph: (803) 779-9666 |
| NPI Number | 1518191105 |
|---|---|
| Provider Enumeration Date | 05/11/2009 |
| Last Update Date | 05/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518191105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2905 (South Carolina) | Primary |
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