Capital Children's Dental Center, LLC
NPI #1174739056 in Columbia, South Carolina
Provider Information
- NPI Number
- 1174739056
- Entity Type
- Organization
- Organization Name
- Capital Children's Dental Center, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 15, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 655 SAINT ANDREWS RD
- Address 2
- SUITE 8
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29210-5112
- Phone
- (803) 252-7725
Authorized Official
- Name
- DR. KEVIN RAINES, DMD
- Title
- PARTNER
- Phone
- (803) 951-9100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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