| NPI | 1073757381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEENAN WEBSTER SMITH President 864-676-0825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SC 4348) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |