| NPI | 1942214861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY ROGER BRYANT President 864-968-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: SC 4021) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |