| NPI | 1053663211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER THOMAS REYNOLDS Dentist/Owner/Member 843-592-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |