| NPI | 1356621452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANS LYNN Office Manager 864-269-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 1853) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2014-11-24 |