NPI | 1083770762 |
---|---|
Entity Type | Organization |
Authorized Contact | NICHOLAS J POURNARAS Owner President 803-794-5430 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3552) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2008-06-17 |