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1255033627
GD SC COLUMBIA, LLC
COLUMBIA, SC
NPI
1255033627
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Entity Type
Organization
Authorized Contact
CHAD HENDRICKS
Credentialing
612-859-0444
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2023-03-20
Last Update Date
2023-03-20
Business Address
GD SC COLUMBIA, LLC
160 SUMMIT CENTRE DR
COLUMBIA, SC 29229-7612
Phone number: 803-699-7224
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Mailing Address
GD SC COLUMBIA, LLC
160 SUMMIT CENTRE DR
COLUMBIA, SC 29229-7612
Phone number: 803-699-7224
Copy
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