| NPI | 1922115658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE MELISSA NICHOLSON Dentist 864-577-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: SC SC3390) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |