| NPI | 1699051466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY NICHOLAS COST President 864-984-7323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC DGD 7082) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2022-06-30 |