| NPI | 1508169558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA CHARVENE FLETCHER-BARNES President 803-714-6323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SC 3594) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |