| NPI | 1417370933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RUPLE HUTTO Dentist 803-536-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: SC 2074) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC 8232) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2014-02-04 |