| NPI | 1659397149 |
|---|---|
| Former Legal Business Name | GREAT OAKS DENTAL |
| Entity Type | Organization |
| Authorized Contact | WILLIAM PENNINGTON Owner 864-878-2428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2359) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2024-09-03 |