NPI | 1386975027 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE DARGAN GEE Co Owner (Dentist) 803-254-6763 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4134) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 1931) |
Enumeration Date | 2010-01-20 |
Last Update Date | 2010-01-20 |