| NPI | 1326332628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SPIVEY GREEN Dentist 864-585-8558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SC 3703) |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2024-01-31 |