| NPI | 1134311830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH BRYAN FLYNN President 843-824-8742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC 3106) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |