| NPI | 1013462522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON KENDELL RINEHART Owner/Dentist 843-545-1295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 6915) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-10-20 |