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 |