| NPI | 1609769710 |
|---|---|
| Doing Business As | FAMILY DENTAL HEALTH OF FORT MILL |
| Entity Type | Organization |
| Authorized Contact | BETH LOUISE ILLSLEY Insurance Director 864-282-1935 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |