| NPI | 1891847968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST J MCCALLUM President 864-229-1601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC SC Ortho 448) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |