| NPI | 1083202600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUKHVINDER KAUR GURAM Pediatric Dentist 803-429-7401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2021-01-08 |