| NPI | 1942261110 |
|---|---|
| Doing Business As | DRS. ELLIS GREEN AND GREEN |
| Entity Type | Organization |
| Authorized Contact | VICTORIA A GUNTER Practice Manager 803-788-9593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2015-01-02 |