| NPI | 1235501024 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH ARNETT JABBOUR Owner/Dentist 864-582-2371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: SC 3148) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2021-10-27 |