| NPI | 1568673069 |
|---|---|
| Doing Business As | UNIVERSITY DENTAL LLC |
| Entity Type | Organization |
| Authorized Contact | LORETTA KAY FELDER MCKELVEY Owner President CEO 803-252-8101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: SC SC2642) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN013211) |
| 122300000X Dentist (Licence: VA 0401411265) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |