| NPI | 1659634251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON W LOCKHART Owner 803-736-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2541) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |