| NPI | 1720496847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA L SUMMERS Dentist/Owner 864-585-5246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4371) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |