| NPI | 1003016437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E REESE Co Owner 843-766-6194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC SC3654) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |