| NPI | 1598907305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R. WHITE Dentist 864-271-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2842) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 3779) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2011-12-20 |