NPI | 1447255377 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN C. ADKINSON Owner 803-581-2345 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2769) |
Enumeration Date | 2005-06-16 |
Last Update Date | 2020-08-22 |