| NPI | 1003140930 |
|---|---|
| Doing Business As | DENTALWORKS |
| Entity Type | Organization |
| Authorized Contact | RICHARD-JAMES HANSEN Dentist/Owner 803-802-1870 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4532) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC 4532) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 1223P0700X Dentist, Prosthodontics | |
| 1223P0300X Dentist, Periodontics | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2016-12-16 |