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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