| NPI | 1861904286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRI S HARMAN Practice Administartor 864-237-5980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SC 3509) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |