| NPI | 1124246186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E. CAUBLE President 864-297-6453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 291) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |