| NPI | 1316244858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN WILCOX MONN President 864-884-6522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 3818) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |