| NPI | 1922499011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM D. HAIRR Owner/Provider 803-816-2795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: SC 7138) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |