| NPI | 1104370188 |
|---|---|
| Doing Business As | PALMETTO HEALTH DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | DARRELL C COVEN Director, Ambulatory Services Finan 803-296-7301 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |