NPI | 1083883961 |
---|---|
Doing Business As | CHARLESTON FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | W. KEITH KIRKLAND Owner 843-571-0117 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: SC 2806) |
Enumeration Date | 2008-02-26 |
Last Update Date | 2008-07-11 |