| NPI | 1144300708 |
|---|---|
| Former Legal Business Name | GREENVILLE FAMILY & IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RONALD STANLEY WILSON Dentist/Owner 864-244-7135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3603) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2018-06-21 |