| NPI | 1982913752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY NICHOLS Dentist/ Owner 864-482-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: SC 4218) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: SC 8328) |
| 122300000X Dentist (Licence: SC 1109) | |
| 124Q00000X Dental Hygienist (Licence: SC 493) | |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-10-15 |