| NPI | 1376951525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE M JASPER Owner/Dentist 803-548-4353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC 3004) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |