| NPI | 1659655892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BROWN Office Manager 864-271-6213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 6903) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |