| NPI | 1750009478 |
|---|---|
| Doing Business As | PALMETTO SMILES PROSTHETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KIRK EDWARD HOUSTON CEO 864-439-3322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2022-08-18 |