| NPI | 1144674631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANJALI SETH Dentist 803-431-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4401) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 8712) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-04-20 |