NPI | 1659654382 |
---|---|
Entity Type | Organization |
Authorized Contact | ARNOLD LAVAUGHAN BATCHELOR Dentist/President 803-548-2191 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: SC 2475) |
Enumeration Date | 2011-09-20 |
Last Update Date | 2011-09-20 |