| NPI | 1881618452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JASON HAIGLER President 864-229-3310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4037) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 4193) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2013-11-27 |