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1871771097
JACKSON SMILE STUDIO, LLC
COLUMBIA, SC
NPI
1871771097
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Entity Type
Organization
Authorized Contact
PHILIP RODNEY JACKSON
President
803-750-0044
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: SC 2416)
Enumeration Date
2008-02-11
Last Update Date
2008-02-11
Business Address
JACKSON SMILE STUDIO, LLC
3790 FERNANDINA RD SUITE 201
COLUMBIA, SC 29210-3864
Phone number: 803-750-0044
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Mailing Address
JACKSON SMILE STUDIO, LLC
3790 FERNANDINA RD SUITE 201
COLUMBIA, SC 29210-3864
Phone number: 803-750-0044
Copy
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