| NPI | 1063136463 |
|---|---|
| Doing Business As | BLYTHEWOOD VILLAGE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NINA H. JONES Owner 803-754-9160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2022-10-02 |