| NPI | 1043390354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA D STRICKLAND Office Manager 843-662-8141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 1783) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |