| NPI | 1134663784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA SILVER DOVER President/Owner 803-782-8786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 4660) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2019-06-13 |