NPI | 1659609485 |
---|---|
Doing Business As | REGENESIS COMMUNITY HEALTH CENTER DENTAL OFFICE |
Entity Type | Organization |
Authorized Contact | GEORGE NEWBY CEO 864-582-2817 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2009-12-07 |
Last Update Date | 2010-06-03 |