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Dental Wellness Center Of Sumter, LLC

Clinic/Center, Dental in Sumter, SC. Organization (NPI-2).

NPI number1003374414
StatusActive
Last updated in NPPESJun 11, 2019

Details

NPI
1003374414
Entity type
Organization (NPI-2)
Legal business name
Dental Wellness Center Of Sumter, LLC
Organization subpart
No
Enumeration date
Mar 5, 2019
Last updated
Jun 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Practice location

1322 Broad St Ste 90
Sumter, SC 29150-1984

Phone 803-883-0857 · Fax 912-226-3489

Mailing address

Po Box 60339
Savannah, GA 31420-0339

Phone 912-920-5577 · Fax 912-226-3489

Authorized official

Christie Lawrence
Financial Coordinator
9129205577

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Other Dental Clinic/Center providers in Sumter, SC

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