| NPI | 1831156892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKIAYA TANENKA HARRIS Office Manager 803-254-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3578) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 3755) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2010-08-12 |