| NPI | 1013964147 |
|---|---|
| Doing Business As | CRESCENT BEACH DENTAL |
| Entity Type | Organization |
| Authorized Contact | DON CALVIN RILEY Dentist Owner 843-272-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: SC 2681) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-08-12 |