| NPI | 1417309451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GARVEY Partner/Owner 864-234-3424 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 3638) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 3638) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |