| NPI | 1801159090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA BROWN Office Manager 803-259-1124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3022) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |