| NPI | 1063689016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE MICHELLE MILLER Manager 864-229-6639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3452) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |