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1164797031
GARY A BETHEA
SUMTER, SC
NPI
1164797031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: SC 7110)
Enumeration Date
2012-03-12
Last Update Date
2016-04-18
Business Address
-- GARY A BETHEA DDS
625 CONSTITUTION DR
SUMTER, SC 29154-8190
Phone number: 803-773-5413
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Mailing Address
-- GARY A BETHEA DDS
625 CONSTITUTION DR
SUMTER, SC 29154-8190
Phone number: 803-773-5413
Copy
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