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Organization
FOUNDATION DENTAL PARTNERS SOUTH CAROLINA PC
Active
Organization
FOUNDATION DENTAL PARTNERS SOUTH CAROLINA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN CUTLER (VP OF INTEGRATION AND ADMINISTRATIO)
(607) 743-9474
Entity
Organization
Contact information
Practice address
3026 FARROW RD, COLUMBIA, SC 29203-7002
(803) 255-0200
Mailing address
296 S MAIN ST STE 300, ALPHARETTA, GA 30009-1973
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
05/12/2022
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