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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