NPI | 1083008890 |
---|---|
Doing Business As | HOLLY TREE PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | ANN BYNUM President 864-297-5585 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 3427) |
Enumeration Date | 2015-03-19 |
Last Update Date | 2024-02-29 |