NPI | 1922312115 |
---|---|
Entity Type | Organization |
Authorized Contact | BOBBY MONROE SAFRIT President/Owner 864-282-1935 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4138) |
Enumeration Date | 2010-07-30 |
Last Update Date | 2021-06-02 |