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1356569107
BRIAN COSTELLO O'LEARY
IRMO, SC
NPI
1356569107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: SC 3493 (ORTHO-542))
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
DR. BRIAN COSTELLO O'LEARY DMD, MS
1544 OLD TAMAH RD
IRMO, SC 29063-9000
Phone number: 803-732-7223
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Mailing Address
DR. BRIAN COSTELLO O'LEARY DMD, MS
1544 OLD TAMAH RD
IRMO, SC 29063-9000
Phone number: 803-732-7223
Copy
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