Vsm Columbia Pediatric Dentistry

NPI 1881015451 - Dentist - 1223P0221X

NPI Details
NPI 1881015451
Enumeration Date 12/26/2013
Last Updated 12/26/2013
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name CRYSTAL CRYSTAL
Position CREDENTIALING COORDINATOR
Phone (803) 798-8675
Fax
Practice Location
2302 BUSH RIVER RD
COLUMBIA SC, 29210-5649, US
Phone (803) 798-8675
Fax
Business Location
2302 BUSH RIVER RD
COLUMBIA SC, 29210-5649, US
Phone
Fax
Toxanomy
Taxonomy Code 1223P0221X
License State
License Number
Remove 1881015451 NPI Number
 

According to our database, Vsm Columbia Pediatric Dentistry NPI is 1881015451, taxonomy code is 1223P0221X Vsm Columbia Pediatric Dentistry physically located at 2302 Bush River Rd, Columbia SC, 29210-5649. NPI Number 1033115704 has the healthcare provider type.

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1881015451 NPI number is provided on an as is basis without warranty of any kind. 1881015451 is maintained by the National Plan & Provider Enumeration System. The contents of Vsm Columbia Pediatric Dentistry are for informational purposes only.