ELITE SMILES DENTAL, PA

COLUMBIA, SC
NPI1801453675
Entity TypeOrganization
Authorized ContactANDREW GERALD GAMBRELL
President
803-419-5002
Organization Subpart ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2019-05-28
Last Update Date2019-12-19
Business Address
ELITE SMILES DENTAL, PA
9020 FARROW RD
COLUMBIA, SC 29203-9773
Phone number: 803-419-5002
Mailing Address
ELITE SMILES DENTAL, PA
9020 FARROW RD
COLUMBIA, SC 29203-9773
Phone number: 803-419-5002