| NPI | 1669578720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C SOWELL President/Oral Surgeon 864-229-5733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |