Ag Dental LLC
NPI #1104553635 in Columbia, South Carolina
Provider Information
- NPI Number
- 1104553635
- Entity Type
- Organization
- Organization Name
- Ag Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 4, 2022
- Last Updated
- Jun 13, 2023
Practice Location
- Address
- 10266 TWO NOTCH RD STE C
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29229-4400
- Phone
- (803) 865-9334
Authorized Official
- Name
- ARMEN GRIGORYAN
- Title
- OWNER
- Phone
- (803) 865-9334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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