| NPI | 1982732657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYLAND TYRONE TRAYNHAM Owner 864-233-2729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: SC 1512) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |