| NPI | 1093905473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVIN H DANENBERG President 803-796-7543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: SC 1985) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2007-07-31 |