| NPI | 1588802680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | P. HAMPTON KENNEMORE Owner 864-338-6589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4108) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-01-27 |