NPI | 1194947788 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM DAVID STEWART President 864-583-0793 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC SC2140) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-22 |