NPI | 1548757867 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY AYERS CEO 864-561-7559 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-04-23 |
Last Update Date | 2018-04-23 |