| NPI | 1376095885 |
|---|---|
| Doing Business As | FRIENDLY DENTAL OF COLUMBIA |
| Entity Type | Organization |
| Authorized Contact | ANNA T FULLER Member 803-528-8351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |