institution
Ancient Mariner, Llc
Dental Clinic/Center in Columbia, South Carolina
NPI 1225456247

Ancient Mariner, Llc is a Dental Clinic/Center based in Columbia, SC and is specialized in Dental. Ancient Mariner, Llc practices in Columbia, SC. The NPI Number for Ancient Mariner, Llc is 1225456247 and holds a License No. 2905 (South Carolina).

The current practice location address for Ancient Mariner, Llc is 1118 Greenlawn Dr, Columbia, SC and can be reached out via phone at 803-807-2140. You can also correspond with Ancient Mariner, Llc through the mailing address at 7457 PATTERSON RD STE 107, COLUMBIA, SC - 29209-0710 (mailing address contact number: 803-807-2140).

Location: 1118 Greenlawn Dr, Columbia, SC, 29209-0710
institution
Provider Profile Details
NPI Number
1225456247
Provider Name
Ancient Mariner, Llc
Credential
Provider Entity Type
Organization
Address
1118 Greenlawn Dr, Columbia, SC, 29209-0710
Phone Number
803-807-2140
Fax Number
Provider Enumeration Date
04/07/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Z29050 05 SC
institution
Provider Business Practice Location Address Details
Address
1118 Greenlawn Dr
City
State
Zip
29209-2606
Phone Number
803-807-2140
Fax Number
person
Provider Business Mailing Address Details
Address
1118 Greenlawn Dr
City
State
Zip
29209-2606
Phone Number
803-807-2140
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
2905 (South Carolina)
Definition
Definition to come...
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