| NPI | 1528470804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BART DAVID WILLIAMS Chairman 864-458-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NC 9801804) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |