| NPI | 1578778411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASSIL SHELTON CUFFY President 864-228-1514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4181) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |