| NPI | 1881038529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LANG FOSTER President 864-261-8985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 3318) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2016-11-01 |