| NPI | 1871784488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES B. HANNA Dentist 864-578-8344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 1847) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 4359) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |