| NPI | 1194026310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMIE R FOSTER Office Administrator 864-235-3949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC SC4479) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |