| NPI | 1790016038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY MONROE SAFRIT Owner 864-282-1935 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4138) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2010-08-17 |