| NPI | 1023527348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGIA FAMULINER Smiles Operations D Irector 803-584-4803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-10-10 |