GD SC COLUMBIA, LLC

COLUMBIA, SC
NPI1255033627
Entity TypeOrganization
Authorized ContactCHAD HENDRICKS
Credentialing
612-859-0444
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2023-03-20
Last Update Date2023-03-20
Business Address
GD SC COLUMBIA, LLC
160 SUMMIT CENTRE DR
COLUMBIA, SC 29229-7612
Phone number: 803-699-7224
Mailing Address
GD SC COLUMBIA, LLC
160 SUMMIT CENTRE DR
COLUMBIA, SC 29229-7612
Phone number: 803-699-7224