| NPI | 1609086149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY R BAYER President 864-962-6787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2024-04-24 |