| NPI | 1912196684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID F WATSON Co Owner 864-335-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 681) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 4287) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2012-11-13 |