NPI | 1871787317 |
---|---|
Entity Type | Organization |
Authorized Contact | S TAYLOR GARNETT Dentist 803-648-3251 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 1846) |
Enumeration Date | 2007-08-28 |
Last Update Date | 2008-10-20 |