| NPI | 1760633259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN SEAN VALIS Owner 803-328-3886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3308) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |