| NPI | 1780851212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL CLINE STILWELL Owner 864-235-7152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2831) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |