| NPI | 1841687241 |
|---|---|
| Former Legal Business Name | PALMETTO FAMILY AND COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | THADDEUS H VINCENT Dentist/Owner 803-773-5411 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SC 4327) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2021-08-09 |