NPI | 1932399862 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWN C EDWARDS President 864-859-0111 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3944) |
Enumeration Date | 2007-07-26 |
Last Update Date | 2007-07-26 |