| NPI | 1932451341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY L MERRITT Office Administrator 864-299-5900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: SC 4480-762) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |