| NPI | 1881830651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY DON KELLEY President 864-244-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SC 30-01944) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2008-12-30 |