| NPI | 1043301146 |
|---|---|
| Other Name | LOWCOUNTRY PROSTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | VIRGIL VACAREAN Dentist 843-706-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: SC 3764) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: SC 0585) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |