| NPI | 1518167865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN MARTIN Office Manager 864-574-4590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: SC 0261) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2008-02-06 |