| NPI | 1396070116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAMPTON KENNEMORE Owner 864-576-7169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3313) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 3783) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2009-10-19 |