| NPI | 1609988005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES DAVID ATKINSON Owner 864-234-7357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 1613) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |