| NPI | 1285933242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SIMS TOMPKINS Owner/President 803-738-9715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 2835) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2011-03-16 |