| NPI | 1588792998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R CAPERS LEE General Dentist 803-494-8466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2810) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |