| NPI | 1023321841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMYE HORRES HURTEAU Managing Member/Dentist 843-209-3897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3736) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 3946) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |