| NPI | 1114194446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA CHRISTOPHER Office Manager 864-877-8008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC 3060) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |