| NPI | 1891286613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL LEA HALBERT President 864-407-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SC 2867) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2019-08-09 |