| NPI | 1255583209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEE BUCHANAN Dentist 803-648-3251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4337) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |