HEIDI PANTAZIS

COLUMBIA, SC
NPI1073054177
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: SC  8883)
Additional Taxonomies122300000X Dentist
(Licence: GA  DN015311)
Enumeration Date2017-03-09
Last Update Date2017-03-09
Business Address
-- HEIDI PANTAZIS D.M.D.
4344 BROAD RIVER RD
COLUMBIA, SC 29210-4010
Phone number: 803-896-1521
Mailing Address
-- HEIDI PANTAZIS D.M.D.
1227 BROOKSTONE WAY
AUGUSTA, GA 30909-5658
Phone number: 716-870-7410
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