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1417100371
CHILDRENS DENTAL GROUP OF SOUTH CAROLINA
IRMO, SC
NPI
1417100371
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Entity Type
Organization
Authorized Contact
GREGORY WYCH
Owner
803-781-1151
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: SC 2905)
Enumeration Date
2008-10-23
Last Update Date
2008-10-23
Business Address
CHILDRENS DENTAL GROUP OF SOUTH CAROLINA
7210K BROAD RIVER RD
IRMO, SC 29063-7973
Phone number: 803-781-1151
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Mailing Address
CHILDRENS DENTAL GROUP OF SOUTH CAROLINA
7210K BROAD RIVER RD
IRMO, SC 29063-7973
Phone number: 803-781-1151
Copy
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