NPI | 1235451352 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELE KATHLEEN BRYANT Owner/Dentist 864-877-6477 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4021) |
Enumeration Date | 2010-02-16 |
Last Update Date | 2010-02-16 |