NPI | 1003998469 |
---|---|
Entity Type | Organization |
Authorized Contact | J. BRIAN HAMBY Orthodontist 864-235-4840 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 3798) |
Enumeration Date | 2006-10-19 |
Last Update Date | 2020-08-22 |