| NPI | 1801229224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE M MOSS Office Manager 864-229-7092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 10059) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |