| NPI | 1205195047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE G MILLER President 864-699-9931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: SC 784) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-07-28 |