| NPI | 1073716247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL M. HAMILTON Doctor 864-225-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 3845) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |