| NPI | 1629133970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK MCCUTCHEON SAWYER President 803-407-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2598) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |