| NPI | 1487890299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD LEE UNDERWOOD President 864-229-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 1607) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |