| NPI | 1356554208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WESLEY FLOREN Owner 803-980-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: SC SC3317) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: SC SC498) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-02-22 |