| Mjbmfd Llc | |
|
2844 Sunset Blvd West Columbia SC 29169-3420 | |
| (803) 731-0803 | |
| (803) 227-2844 |
| Full Name | Mjbmfd Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2844 Sunset Blvd, West Columbia, South Carolina |
| Authorized Official Name and Position | Mark Judson Burns (AGENT) |
| Authorized Official Contact | 8038730272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mjbmfd Llc 2844 Sunset Blvd West Columbia SC 29169-3420 Ph: (803) 731-0803 | Mjbmfd Llc 2844 Sunset Blvd West Columbia SC 29169-3420 Ph: (803) 731-0803 |
| NPI Number | 1396238606 |
|---|---|
| Provider Enumeration Date | 06/11/2018 |
| Last Update Date | 06/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396238606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8161 (South Carolina) | Primary |
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