| NPI | 1578701629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY MONROE SAFRIT Dentist/Manager 864-268-2011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4138) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-01-28 |