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 |