IVY CREEK FAMILY DENTISTRY LLC

COLUMBIA, SC
NPI1962033001
Entity TypeOrganization
Authorized ContactCHERMAINE LATRICE LYDE
Owner/Partner
803-302-4445
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2020-01-28
Last Update Date2020-01-28
Business Address
IVY CREEK FAMILY DENTISTRY LLC
9007 TWO NOTCH RD STE B
COLUMBIA, SC 29223-5834
Phone number: 803-302-4445
Mailing Address
IVY CREEK FAMILY DENTISTRY LLC
337 OAKPOINTE LN
LEXINGTON, SC 29072-7232
Phone number: 912-695-8540