| NPI | 1285416677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WATERS Orthodontist/Owner 864-855-6360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2023-10-19 |