| NPI | 1346513801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY MONROE SAFRIT Owner 864-282-1935 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist (Licence: SC 4138) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2021-06-02 |