| NPI | 1699142299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD THOMAS AKINS Dentist/Owner 803-393-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SC 8298) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2015-08-31 |