Gd Sc Columbia, LLC
NPI #1255033627 in Columbia, South Carolina
Provider Information
- NPI Number
- 1255033627
- Entity Type
- Organization
- Organization Name
- Gd Sc Columbia, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 20, 2023
- Last Updated
- Mar 20, 2023
Practice Location
- Address
- 160 SUMMIT CENTRE DR
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29229-7612
- Phone
- (803) 699-7224
Authorized Official
- Name
- CHAD HENDRICKS
- Title
- CREDENTIALING
- Phone
- (612) 859-0444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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