| NPI | 1639256019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK S. DHILLON President 864-877-3631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3447) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 3470) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |