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1548659550
MITCHELL SCOTT VANDER BAAN
COLUMBIA, SC
NPI
1548659550
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MI L273247)
Enumeration Date
2015-01-14
Last Update Date
2015-01-14
Business Address
Dr. MITCHELL SCOTT VANDER BAAN D.D.S.
1001 BRENTWOOD CT
COLUMBIA, SC 29206-2871
Phone number: 616-446-3974
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Mailing Address
Dr. MITCHELL SCOTT VANDER BAAN D.D.S.
1001 BRENTWOOD CT
COLUMBIA, SC 29206-2871
Phone number: 616-446-3974
Copy
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