NPI | 1578688875 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTINA LYNN HAPNEY President 864-289-0289 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4144) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2010-08-16 |