| NPI | 1891890315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL LEA HALBERT President 864-962-6671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC SC2867) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |