| NPI | 1669645917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD J. COLBURN President 864-574-5297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SC 2225) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |