| NPI | 1043661093 |
|---|---|
| Doing Business As | FAMILY HEALTH CENTERS DENTAL MOBILE UNIT |
| Entity Type | Organization |
| Authorized Contact | STAN WARDLAW CEO 803-531-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2025-01-15 |