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1275356289
OMNI DENTAL OF SUMTER LLC
SUMTER, SC
NPI
1275356289
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Entity Type
Organization
Authorized Contact
ROBERT ELLIS
Owner
803-413-5100
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2024-11-07
Last Update Date
2024-11-07
Business Address
OMNI DENTAL OF SUMTER LLC
625 CONSTITUTION DR
SUMTER, SC 29154-8190
Phone number: 803-773-5413
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Mailing Address
OMNI DENTAL OF SUMTER LLC
212 OUTLET POINTE BLVD
COLUMBIA, SC 29210-5667
Phone number: 803-830-3008
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