| NPI | 1033669106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER EDWARD MOHLER Owner 843-522-1442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3226) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |