| Irmo Kids Dental Llc | |
|
7570 Woodrow St Irmo SC 29063-2831 | |
| (803) 429-7058 | |
| Not Available |
| Full Name | Irmo Kids Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7570 Woodrow St, Irmo, South Carolina |
| Authorized Official Name and Position | Santana Jones (OWNER) |
| Authorized Official Contact | 8037642013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irmo Kids Dental Llc 7570 Woodrow St Irmo SC 29063-2831 Ph: () - | Irmo Kids Dental Llc 7570 Woodrow St Irmo SC 29063-2831 Ph: (803) 429-7058 |
| NPI Number | 1306405857 |
|---|---|
| Provider Enumeration Date | 06/09/2019 |
| Last Update Date | 10/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306405857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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