| NPI | 1639432990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WESLEY HARDEN Dentist 864-246-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: SC 4272) |
| Additional Taxonomies | 122300000X Dentist (Licence: SC 7141) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |