| NPI | 1386859262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTOPHER GARRISON Periodontist 864-654-3416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: SC 2267) |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2020-08-22 |