NPI | 1447619721 |
---|---|
Doing Business As | BELA FAMILY DENTISTRY OF IRMO |
Entity Type | Organization |
Authorized Contact | MATTHEW COOK CEO 803-479-1795 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4708) |
Enumeration Date | 2016-02-16 |
Last Update Date | 2016-02-16 |