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Organization
MID CAROLINA DENTAL CENTER PLLC
Active
Organization
MID CAROLINA DENTAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINDY RENEE GOINS D.D.S. (PRESIDENT DENTIST)
(803) 285-7645
Entity
Organization
Contact information
Practice address
1012 N WOODLAND DR, LANCASTER, SC 29720-1966
(803) 285-7645
(803) 285-7687
Mailing address
1012 N WOODLAND DR, LANCASTER, SC 29720-1966
(803) 285-7645
(803) 285-7687
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92948
—
SC
Enumeration date
05/21/2007
Last updated
08/22/2020
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