| NPI | 1679911036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSIE ALVAREZ Office Manager 864-968-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC 8203) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |