| NPI | 1639203789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL HOSKINS President 864-458-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3880) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |