| 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 |