institution
Southern Roots Periodontics: Implant & Laser Dentistry, Llc
Dental Clinic/Center in Columbia, South Carolina
NPI 1578009056

Southern Roots Periodontics: Implant & Laser Dentistry, Llc is a Dental Clinic/Center based in Columbia, SC and is specialized in Dental. Southern Roots Periodontics: Implant & Laser Dentistry, Llc practices in Columbia, SC. The NPI Number for Southern Roots Periodontics: Implant & Laser Dentistry, Llc is 1578009056 and holds a License No. 8489 (South Carolina).

The current practice location address for Southern Roots Periodontics: Implant & Laser Dentistry, Llc is 2120 N Beltline Blvd, Columbia, SC and can be reached out via phone at 803-782-0528 and via fax at 803-782-1036.

Location: 2120 N Beltline Blvd, Columbia, SC, 29204-4518
institution
Provider Profile Details
NPI Number
1578009056
Provider Name
Southern Roots Periodontics: Implant & Laser Dentistry, Llc
Credential
Provider Entity Type
Organization
Address
2120 N Beltline Blvd, Columbia, SC, 29204-4518
Phone Number
803-782-0528
Fax Number
803-782-1036
Provider Enumeration Date
01/09/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2120 N Beltline Blvd
City
State
Zip
29204-4518
Phone Number
803-782-0528
Fax Number
803-782-1036
person
Provider Business Mailing Address Details
Address
2120 N Beltline Blvd
City
State
Zip
29204-4518
Phone Number
803-782-0528
Fax Number
803-782-1036
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
8489 (South Carolina)
Definition
Definition to come...
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