| NPI | 1417384405 |
|---|---|
| Doing Business As | CAROLINA FOOTHILLS DENTAL- UNION |
| Entity Type | Organization |
| Authorized Contact | BRENDA LYNN NEWMAN Insurance COO Rdinator 864-427-0397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: SC 3451) |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2013-10-04 |