| NPI | 1811475189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL WESLEY HALL President 864-847-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SC SC8579) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |