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1962033001
IVY CREEK FAMILY DENTISTRY LLC
COLUMBIA, SC
NPI
1962033001
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Entity Type
Organization
Authorized Contact
CHERMAINE LATRICE LYDE
Owner/Partner
803-302-4445
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2020-01-28
Last Update Date
2020-01-28
Business Address
IVY CREEK FAMILY DENTISTRY LLC
9007 TWO NOTCH RD STE B
COLUMBIA, SC 29223-5834
Phone number: 803-302-4445
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Mailing Address
IVY CREEK FAMILY DENTISTRY LLC
337 OAKPOINTE LN
LEXINGTON, SC 29072-7232
Phone number: 912-695-8540
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