| NPI | 1659763167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALEXANDER KENNEDY President 864-386-2753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC 4377) |
| Enumeration Date | 2015-02-21 |
| Last Update Date | 2015-02-21 |