| NPI | 1992030324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHEA G TAYLOR Dentist 803-649-9899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 2602) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2009-10-02 |