| NPI | 1043628324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LANG FOSTER Owner 864-261-8985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |