NPI | 1053376491 |
---|---|
Former Legal Business Name | WROBLESKI & MACDONALD PEDIATRIC DENTAL PARTNERSHIP |
Entity Type | Organization |
Authorized Contact | REBECCA TORLAY - KURSH Financial Coordinator 843-216-5879 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 2085) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC 3881) |
1223P0221X Dentist, Pediatric Dentistry (Licence: SC 3863) | |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 3030) | |
207L00000X Anesthesiology (Licence: SC 7171) | |
Enumeration Date | 2006-04-19 |
Last Update Date | 2024-08-01 |