NPI | 1386414472 |
---|---|
Doing Business As | FAMILY DENTAL HEALTH OF UPTOWN |
Entity Type | Organization |
Authorized Contact | BETH ILLSLEY Director Of Insurance 864-282-1935 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-01-08 |
Last Update Date | 2024-01-08 |