NPI | 1134250178 |
---|---|
Entity Type | Organization |
Authorized Contact | HARRY NICK BOBOTIS Owner 864-271-1220 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3490) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2009-12-24 |