| NPI | 1063753754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAIDA L SINGLETON Owner 843-479-4781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 3873) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |