| NPI | 1275666166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENETTA G BELL Owner 803-779-9666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 1223G0001X) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |