| NPI | 1962808980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY LEE AYERS Owner 864-561-7559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 310627727) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |