| NPI | 1366577389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WIILIAM P. MILLS Owner 864-585-3318 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: SC 2121) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: SC 2143) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2011-01-06 |