| NPI | 1417936782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY S FALLS Office Administrator 803-324-1160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2007-10-16 |