NPI | 1730624115 |
---|---|
Other Name | SPRINGFIELD FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | MARK KLOPENSTINE President 803-548-0005 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: SC 4508) |
Enumeration Date | 2016-12-21 |
Last Update Date | 2016-12-21 |