| NPI | 1164830808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM FOSTER Owner 864-933-4410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |