| NPI | 1821201708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY CRAIG SUMMERS President 864-244-7545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 0573) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |