| NPI | 1184630527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM L CAPEHART C.E.O./President 864-963-7237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3842) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-11-23 |