| NPI | 1740387638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L WOODS President 864-654-5652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 41680650) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MS 10056002470) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |