NPI | 1073900908 |
---|---|
Doing Business As | DENTALSMART |
Entity Type | Organization |
Authorized Contact | ROBERT B GAMBLE Owner/Dentist 843-614-6769 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2015-04-17 |
Last Update Date | 2016-04-04 |