| NPI | 1518241710 |
|---|---|
| Doing Business As | WILLOUGHBY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATTHEW SCOTT WARNER Owner/Dentist 864-546-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: SC 4579) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |