NPI | 1063775633 |
---|---|
Doing Business As | PROGRIN DENTAL |
Entity Type | Organization |
Authorized Contact | BRENT ALLEN AYERS President 864-561-7559 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2012-06-19 |
Last Update Date | 2012-06-19 |