| NPI | 1578216594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADISON LANFORD Owner/Orthodontist 864-884-4759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-01-31 |