| NPI | 1952588824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA FRAZIER Office Staff 803-286-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2718) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |