| NPI | 1467709808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO SAENZ President/Owner 803-259-3497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4295) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2012-08-03 |