NPI | 1952965345 |
---|---|
Doing Business As | GOKIDS PEDIATRIC DENTISTRY FORT MILL |
Doing Business As | ALIGN FORT MILL |
Entity Type | Organization |
Authorized Contact | MARTIN AVEY Chief Clinical Officer 803-887-2319 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2019-05-01 |
Last Update Date | 2023-08-14 |