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Organization
FOREST ACRES DENTAL CARE, P.A.
Active
Organization
FOREST ACRES DENTAL CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M. CAROLINE JONES GUTIERREZ D.M.D. (OWNER)
(803) 782-8786
Entity
Organization
Contact information
Practice address
5101 FOREST DR, COLUMBIA, SC 29206-4962
(803) 782-8786
(803) 782-6682
Mailing address
PO BOX 6468, COLUMBIA, SC 29260-6468
(803) 782-8786
(803) 782-6682
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3327
SC
Other
Enumeration date
09/07/2007
Last updated
10/18/2010
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