NPI | 1023374824 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT GLENN AUSTIN Dentist/Owner 864-226-4411 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2697) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 4560) |
Enumeration Date | 2012-04-05 |
Last Update Date | 2012-04-05 |