| NPI | 1023374824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA ARZUMANOVA Insurance Coordinator 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 | 2025-07-14 |