NPI | 1225285646 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER WREN LEVER Owner/Dentist 864-621-5366 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3632) |
Enumeration Date | 2008-08-27 |
Last Update Date | 2008-08-27 |