| NPI | 1861886038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ANTHONY CONSTANTINE Dentist/Owner 864-387-9748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4587) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |