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 |