| NPI | 1144370339 |
|---|---|
| Doing Business As | LOW COUNTRY ORAL FACIAL & IMPLANT |
| Entity Type | Organization |
| Authorized Contact | PHILIP M PRICKETT Physician 843-971-0041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: SC 3132) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: SC 1481) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2008-06-26 |