| NPI | 1366522922 |
|---|---|
| Former Legal Business Name | DRS. WILSON, UPRICHARD AND CZARSTY PA |
| Entity Type | Organization |
| Authorized Contact | TAMMY KNIGHT PORTER Insurance Claims Manager 864-250-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2010-06-10 |