| NPI | 1235673740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NACHUM AUGENBAUM Owner / Manager 864-647-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: SC 3059) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |