| NPI | 1629230644 |
|---|---|
| Other Name | MIGHTY MOUTHS |
| Entity Type | Organization |
| Authorized Contact | TU-WANDA MARABLE MARTIN Owner/Dentist 864-627-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 687) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |