NPI | 1811377120 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON CHRISTOPHER MITCHELL President 864-226-8272 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: SC 3611) |
Additional Taxonomies | 122300000X Dentist (Licence: SC 4399) |
Enumeration Date | 2015-06-02 |
Last Update Date | 2015-06-02 |