| NPI | 1326173428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS TYLER SUMNER Physician/ Owner 864-226-7503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: SC 3483) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2013-12-06 |