| NPI | 1760711394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI GAUL Office Staff 864-289-9752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2313) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2009-12-10 |