NPI | 1023125846 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL GEORGE MEDCALF President 864-235-0175 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 1896) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2020-08-22 |