| NPI | 1073597712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RANDOLPH CURTIS Owner 864-225-7231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: SC 2884) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC 2168) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2020-08-22 |