| NPI | 1033418314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MARTIN DOUGHTY Owner/Dentist 843-766-0610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4375) |
| Enumeration Date | 2011-03-25 |
| Last Update Date | 2011-03-25 |