COLUMBIA PERIODONTAL ASSOICATES, LLC

COLUMBIA, SC
NPI1548282130
Entity TypeOrganization
Authorized ContactLAUREL-JEAN M MATHIS
Office Manager
803-798-0894
Organization Subpart ?No
Primary Taxonomy1223P0300X Dentist Periodontics
Enumeration Date2006-07-24
Last Update Date2020-08-22
Business Address
COLUMBIA PERIODONTAL ASSOICATES, LLC
3527 BUSH RIVER RD
COLUMBIA, SC 29210-4805
Phone number: 803-798-0894
Mailing Address
COLUMBIA PERIODONTAL ASSOICATES, LLC
3527 BUSH RIVER RD
COLUMBIA, SC 29210-4805
Phone number: 803-798-0894
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