| NPI | 1841490802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. GREGORY SMITH Dentist/Owner 864-879-2002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: SC 3534) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |