NPI | 1023180528 |
---|---|
Doing Business As | CHRISTY M FOGLE DMD |
Entity Type | Organization |
Authorized Contact | TERESA E WILSON Office Manager 843-762-2065 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: SC 2406) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 2406) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2020-08-22 |