| NPI | 1356473433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE D. BEDELL Owner 864-489-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3199) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |