| NPI | 1144234063 |
|---|---|
| Other Name | CLEMSON FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CONNIE HIX BLACK Office Manager 864-654-5733 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3718SC) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2008-07-14 |