| NPI | 1255676805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY EDWARD GARRITY President 803-905-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC 3803) |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2012-12-21 |