| NPI | 1295453751 |
|---|---|
| Other Name | ISSAQUEENA PEDIATRIC DENTISTRY AND ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CAMILLE WORTHINGTON HORTON Owner 864-482-7900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-08-19 |
| Last Update Date | 2022-08-19 |