| NPI | 1396798567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA WENTWORTH BRIDGES Dentist 864-283-2838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3746) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-07-05 |