| NPI | 1922301639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYWANA M GROCE President 864-232-8393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4483) |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2010-12-20 |