| NPI | 1548637713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA A GOLDSTON Dentist/Owner/Sole Member Of LLC 864-651-0696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 6987) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |