| NPI | 1144648098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL LEA HALBERT President 864-630-9103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2867) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |