| NPI | 1023126950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER MARVIN HARRIS III Dentist/Owner 864-877-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC 3557) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2011-01-20 |