NPI | 1063097624 |
---|---|
Former Legal Business Name | WILLIAM L CULP JR DMD |
Entity Type | Organization |
Authorized Contact | CHARLES WILLIAM CULP Dentist/Owner 803-324-2921 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-03-16 |
Last Update Date | 2021-06-22 |