| NPI | 1891974432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E WYONT President 803-642-4564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2059) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |