Individual
DR. GINA HOLLAND ORMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1260 LEXINGTON DR, WEST COLUMBIA, SC 29170-2176
(803) 822-3450
(803) 822-3079
Mailing address
522 AIKEN HUNT CIR, COLUMBIA, SC 29223-8420
(803) 419-9106
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3053
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z30538
—
SC
Enumeration date
05/17/2007
Last updated
07/08/2007
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