| NPI | 1780159129 |
|---|---|
| Other Name | PASUI FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JENNI TOMLINSON Credentialing Specialist 864-269-5290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2023-10-09 |