| NPI | 1417965922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE RICHARDS Owner President 864-220-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 3152) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2013-09-09 |