| NPI | 1023708617 |
|---|---|
| Other Name | HEALTH SCIENCE CAMPUS - DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JERMAINE FORD President 843-661-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-05-09 |