| NPI | 1548363591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY WARING SHEFTALL President 864-261-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2891) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2008-08-27 |