NPI | 1952528127 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIP CARLTON MORROW Owner 864-583-3717 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2508) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2020-08-22 |