| NPI | 1407048663 |
|---|---|
| Doing Business As | DENTAL CENTER WEST |
| Entity Type | Organization |
| Authorized Contact | LYNN S JEANCAKE Office Manger 803-643-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 1438) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-08-13 |