| NPI | 1548522451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN M THOMPSON Dentist 803-239-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3508) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |