SUNSET PERIODONTICS, LLC

WEST COLUMBIA, SC
NPI1598142341
Entity TypeOrganization
Authorized ContactTRAVIS WAYNE MIZE
Owner
317-345-3113
Organization Subpart ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: SC  826)
Enumeration Date2015-04-30
Last Update Date2015-06-04
Business Address
SUNSET PERIODONTICS, LLC
159 MEDICAL CIR
WEST COLUMBIA, SC 29169-3655
Phone number: 803-794-7520
Mailing Address
SUNSET PERIODONTICS, LLC
159 MEDICAL CIR
WEST COLUMBIA, SC 29169-3655
Phone number: 803-794-7520
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