| NPI | 1396238606 |
|---|---|
| Doing Business As | MIDLANDS FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MARK JUDSON BURNS Agent 803-873-0272 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 8161) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |