| NPI | 1043478084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUWARD T FULMER President 864-297-1367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 2457) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |