NPI | 1073901286 |
---|---|
Doing Business As | WOOD CREEK DENTAL |
Entity Type | Organization |
Authorized Contact | AMELIA SIMS ROSE Practice Adminstrator 864-288-5300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2014-12-23 |
Last Update Date | 2014-12-23 |