| NPI | 1275016263 |
|---|---|
| Doing Business As | FORT MILL PERIODONTICS & IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | RICHARD OFFUTT Owner 704-366-2774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-18 |